Objective To evaluate the therapeutic effects of mesalazine, osalazine and sulfasalazine for patientswith ulcerative colitis. Methods 120 patients with ulcerative colitis were randomly divided into mesalazinegroup(n=40), osalazine group(n=39) and sulfasalazine group(n=41). The efficacy and adverse events of the three groups were observed after the treatment of 12 weeks. Results The rate of complete remission and overall effective rate of three groupswere30.0%, 28.2% and 51.2%; 75.0%, 76.9% and 92.7%, respectively. And the differences between mesalazine/osalazine and sulfasalazine were statistically significant(P 0.05). Conclusion Compared with mesalazine and osalazine, sulfasalazine is more effective in treatment of ulcerative colitis, but with a relatively higher incidence of adverse reactions.