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双歧三联活菌;肝硬化;肠道菌群;内毒素;肠黏膜屏障功能
Bifid triple viable capsules; Cirrhosis; Intestinal flora; Endotoxin; Intestinal mucosal barrier function
  
DOI:
中文关键词:  双歧三联活菌  肝硬化  肠道菌群  内毒素  肠黏膜屏障功能
英文关键词:Bifid triple viable capsules  Cirrhosis  Intestinal flora  Endotoxin  Intestinal mucosal barrier function
基金项目:
作者单位
肖丹 贾业贵 ①江汉大学附属医院武汉市第六医院(武汉 430015) 
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中文摘要:
      摘 要 目的:观察双歧三联活菌辅助治疗对肝硬化患者肠道菌群、血浆内毒素及肠黏膜屏障功能的影响。方法:70例肝硬化患者随机分为对照组和观察组各35例。对照组患者给予对症支持治疗,观察组在对照组基础上加用双歧三联活菌胶囊治疗。疗程均为4周。比较两组患者治疗前后肠道菌群(肠杆菌、肠球菌、双歧杆菌、乳杆菌、酵母样真菌)、血浆内毒素及降钙素原(PCT)、二胺氧化酶(DAO)等肠黏膜屏障功能指标变化。结果:治疗后,观察组肠杆菌、肠球菌、双歧杆菌、乳杆菌等菌落数均明显高于治疗前及对照组治疗后(P<0.05),而酵母样真菌菌落数明显低于治疗前及对照组治疗后(P<0.05)。两组治疗后血浆内毒素及PCT、DAO等表达水平均较治疗前明显下降(P<0.05),且观察组明显低于对照组(P<0.05)。两组患者治疗期间均未出现严重的药品不良反应。结论:双歧三联活菌辅助治疗可促进肝硬化患者肠道菌群恢复,降低血浆内毒素水平,提高肠道黏膜屏障功能,值得临床推广应用。
英文摘要:
      ABSTRACT Objective:To observe the influence of bifid triple viable capsules adjuvant therapy to the intestinal flora, plasma endotoxin and intestinal mucosal barrier function of the patients with cirrhosis.Methods:70 patients with cirrhosis were randomly divided to control group (35 cases) and observation group (35 cases). The patients of control group were given symptomatic supportive treatment, and the observation group was treated with bifid triple viable capsules on the basis of control group, a course of 4 weeks. The changes of intestinal microflora (escherichia coli, enterococci, bifidobacteria, lactobacillus, yeast like fungi), the plasma levels of endotoxin, and the intestinal mucosa barrier function such as PCT and diamine oxidase (DAO) in the two groups before and after treatment were compared. Results:After the treatment, the colonies number of escherichia coli, enterococci, bifidobacteria, lactobacillus in the observation group after treatment was significantly higher than that of before treatment and the control group after treatment(P<0.05), and the colonies number of yeast like fungi were significantly lower than that of before treatment and the control group after treatment(P<0.05). The expression level of plasma endotoxin, PCT, DAO in the two groups after treatment significantly decreased than that of before treatment (P<0.05), and the observation group decreased significantly compared with the control group (P<0.05). There was no serious adverse drug reaction occurred during the treatment in the two groups. Conclusion:The bifid triple viable capsules adjuvant therapy could promote the recovery of intestinal flora in patients with cirrhosis, reduce the level of plasma endotoxin, improve the intestinal mucosal barrier function, and it was worthy of clinical application.
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