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美沙拉嗪联合双歧杆菌四联活菌片对溃疡性结肠炎患者脂质过氧化损伤保护作用的观察
Protection Effect of Mesalazine Combined with Bifidobacterium Tetravaccine Tablets on Lipid Peroxidation Damage of Patients with Ulcerative Colitis
  
DOI:
中文关键词:  溃疡性结肠炎  美沙拉嗪  双歧杆菌四联活菌片  脂质过氧化
英文关键词:Ulcerative colitis  Mesalazine  Bifidobacterium tetravaccine tablets  Lipid peroxidation damage
基金项目:
作者单位
徐俊燕 丽水市中医医院药剂科
(浙江丽水 323000) 
吴建业 丽水市中医医院消化科 
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中文摘要:
      摘 要 目的:探讨美沙拉嗪联合双歧杆菌四联活菌片对溃疡性结肠炎(UC)患者脂质过氧化损伤的保护作用。方法:72例轻中度活动期UC患者随机分为试验组和对照组各36例。对照组患者予美沙拉嗪肠溶片1.0 g,po  qid。试验组患者在对照组基础上加用双歧杆菌四联活菌片1.5 g,po tid。两组均连用6周后,比较两组治疗前后血清丙二醛(MDA)、氧化低密度脂蛋白(ox-LDL)、过氧化脂质(LPO)和超氧化物歧化酶(SOD)水平变化,评估其临床疗效及药物不良反应。结果:治疗6周后,两组患者的血清MDA、ox LDL和LPO水平均较前明显下降,SOD水平较前明显上升(P<0.05或P<0.01),且试验组明显优于对照组(P<0.05)。试验组临床总有效率为93.75%,明显高于对照组的73.53%(P<0.05);两组药物不良反应发生率比较,差异无统计学意义(P>0.05)。结论:美沙拉嗪联合双歧杆菌四联活菌片治疗UC疗效较显著,其作用机制与其降低血清MDA、ox LDL和LPO水平,升高SOD水平,保护脂质过氧化损伤的作用密切相关。
英文摘要:
      ABSTRACT Objective:To discuss protection effect of mesalazine combined with bifidobacterium tetravaccine tablets on lipid peroxidation damage of patients with ulcerative colitis(UC). Methods:72 cases of patients with mild to moderate UC in activity period, were selected and divided into experimental group and control group by table of random numbers, with 36 cases of patients in either group. The patients in control group were given 1.0g mesalazine enteric coated tablets per time, four times a day, through the mouth, while the patients in experimental group were additionally given 1.5g bifidobacterium tetravaccine tablets per time, three times a day, for 6 weeks. The serum malondialdehyde (MDA), oxidized low density lipoprotei(ox LDL), lipid peroxidation produc(LPO) and superoxide dismutase (SOD) levels of patients in two groups were judged and compared before and after medical treatment, and the clinical curative effect and adverse drug reaction (ADR) were evaluated as well. Results:After 6 weeks’ medical treatment, serum MDA, ox LDL and LP0 levels of patients in two groups were obviously declined than before, while SOD levels obviously were rose than before(P<0.05 or P<0.01), and the improvement rate of patients in experimental group was much higher than that in control group(P<0.05). Meanwhile, total clinical efficiency of patients in experimental group (93.75%) was much higher than that in control group(73.53%,P<0.05). Compared the adverse drug reaction of patients in two groups, there were no statistical differences appeared (P>0.05). Conclusion:Mesalazine combined with bifidobacterium tetravaccine tablets had significant curative effect on UC, and could obviously improve clinical symptom and improve the healing of intestinal mucosa, whose mechanism of action had close effect on reducing serum MDA, ox LDL and LPO level, raising SOD level and protecting lipid peroxidation damage.
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