炎性肠病合并自身免疫性疾病的临床特点及药物治疗探讨

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL
Jiawei Guo
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引用次数: 0

摘要

目的:分析炎症性肠病(IBD)合并自身免疫性疾病的临床特点及药物治疗效果。方法:选择2022年1月~ 2023年6月IBD合并自身免疫性疾病患者200例作为观察组。同时选取同期单纯性IBD患者200例作为对照组。收集两组患者的一般资料和临床资料进行分析,比较两组患者的临床特点和药物治疗效果。结果:①两组患者在性别、年龄、病变部位、临床分型等方面差异无统计学意义(P >0.05)。然而,两组在疾病持续时间、病情严重程度和肠外症状方面存在显著差异(P <0.05)。②两组在微生物制剂的使用上无显著差异(P >0.05)。观察组患者类固醇使用率高于对照组,而氨基水杨酸栓使用率低于对照组(P <0.05)。③两组患者治疗疗效差异无统计学意义(P >0.05)。结论:与单纯IBD患者相比,IBD合并自身免疫性疾病患者病程更长,病情更严重,肠外症状更多。前者治疗方案中类固醇使用率较高,而氨基水杨酸栓使用率较低。然而,总体疗效与单纯性IBD患者相当,总体预后相对良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploration of Clinical Characteristics and Drug Treatment of Inflammatory Bowel Disease Complicated with Autoimmune Diseases
Objective: To analyze the clinical characteristics and drug treatment outcomes of inflammatory bowel disease (IBD) complicated with autoimmune diseases. Methods: A total of 200 patients with IBD and autoimmune diseases were selected as the observation group from January 2022 to June 2023. In addition, 200 patients with simple IBD during the same period were selected as the control group. The general and clinical data of the two groups of patients were collected and analyzed to compare their clinical characteristics and drug treatment outcomes. Results: ① There were no significant differences in gender, age, lesion location, and clinical type between the two groups (P > 0.05). However, the two groups differed significantly in terms of disease duration, severity of the condition, and extraintestinal symptoms (P < 0.05). ② There was no significant difference in the use of microbial preparations between the two groups (P > 0.05). The observation group had a higher usage rate of steroids compared to the control group, while the usage rate of aminosalicylate suppositories was lower in the observation group than in the control group (P < 0.05). ③ There was no significant difference in treatment efficacy between the two groups (P > 0.05). Conclusion: Patients with IBD complicated by autoimmune diseases have longer disease duration, more severe conditions, and more extraintestinal symptoms compared to those with simple IBD. The usage rate of steroids is higher, while the usage rate of aminosalicylate suppositories is lower in the treatment plan for the former group. Nevertheless, the overall effectiveness is comparable to that of patients with simple IBD, and the overall prognosis is relatively favorable.
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