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The Efficacy of Mesalazine Combined with Compound Glutamine in the Treatment of Ulcerative Colitis |
HUANG Peng, LIANG Qingqing, WANG Mingchao |
Department of Gastroenterology, Shenhuo Group General Hospital, Shangqiu Henan 476600 |
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Abstract 【Objective】To explore the efficacy of mesalazine combined with compound glutamine in the treatment of ulcerative colitis (UC).【Methods】 A total of 102 UC patients were randomly divided into a control group and an observation group, with 51 cases in each group. Patients in the control group received mesalazine treatment, while those in the observation group received mesalazine combined with compound glutamine. The outcomes, colonic function (improvement time in bloating, diarrhea, and complete recovery time of stool frequency and form/properties), intestinal mucosal barrier function [levels of diamine oxidase (DAO) and D-lactic acid, inflammatory markers (tumor necrosis factor-alpha (TNF-α), C-reactive protein (CRP), interleukin-8 (IL-8), interleukin-(IL-10)], and disease activity (intestinal mucosal lesion score, Mayo activity index score) were compared between the two groups before and after treatment.【Results】 Before treatment, there were no statistically significant differences in the indices between the two groups (P>0.05). After treatment, the observation group showed significantly shorter improvement times for bloating and diarrhea, as well as faster complete recovery of stool frequency and form compared to the control group (P<0.05). Additionally, the DAO, D-lactic acid, TNF-α, CRP, IL-8 levels, intestinal mucosal lesion score, and Mayo activity index score in the observation group were significantly lower than those in the control group, while IL-10 level in the observation group was higher than that in the control group (P<0.05).【Conclusion】 Mesalazine combined with compound glutamine significantly optimizes colonic function and disease activity in UC patients, improves intestinal mucosal barrier function, and reduces inflammation markers.
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Received: 26 June 2024
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