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Metabolomics characterization of Qingwei San on oral ulcer in db/db mice with stomach heat pattern
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作者 Huimin Li Chen Wang +7 位作者 Yinglan Lyu Lu Shi Changhao He Yongcheng An Huilin Zhang Hongbin Zhao Yonghua Zhao Baosheng Zhao 《Journal of Traditional Chinese Medical Sciences》 CAS 2023年第3期267-279,共13页
Objective:To characterize the effects of Qingwei San(QWS)on diabetic oral ulcer(OU)mice with stomach heat pattern through metabolomic analysis.Methods:A stomach heat pattern mouse model was established by treating C57... Objective:To characterize the effects of Qingwei San(QWS)on diabetic oral ulcer(OU)mice with stomach heat pattern through metabolomic analysis.Methods:A stomach heat pattern mouse model was established by treating C57BLKS/J Leprdb/db(db/db)mice with dried Zingiber officinale Rosc.rhizome(Z.officinale,Gan Jiang)decoction by gavage.All model mice had blood glucose levels of≥11.1 m M.Subsequently,OU was induced by Na OH cauterization.After 1 week of administration of QWS,non-targeted metabolomic analysis of serum was conducted using ultra high performance liquid chromatography coupled with mass spectrometry(UHPLC-MS/MS).Results:The non-targeted metabolomics results indicated that tryptophan metabolism,2-oxocarboxylic acid metabolism,serotonergic synapses,amino sugar and nucleotide sugar metabolism,and amino acid biosynthesis were involved in the therapeutic effects of QWS,with tryptophan metabolism playing a predominant role.Conclusion:QWS treatment can significantly improve the pathological status of diabetic OU mice with stomach heat pattern.QWS may regulate the release of inflammatory factors through the tryptophan metabolism pathway. 展开更多
关键词 Qingwei San Oral ulcer stomach heat pattern Diabetes mellitus Metabolomics
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Progress of gastric cancer etiology:N-nitrosamides in the 1990s 被引量:27
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作者 Da Jun Deng Laboratory of Cancer Etiology,Beijing Medical University School of Oncology& Beijing Institute for Cancer Research,100034,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2000年第4期613-618,共6页
Stomach carcinoma is still the leading cause of cancer death in China and the second one in the world. Its possible causes include: A) chemical factors such as intragastric formation of N-nitroso compounds (NOC) and h... Stomach carcinoma is still the leading cause of cancer death in China and the second one in the world. Its possible causes include: A) chemical factors such as intragastric formation of N-nitroso compounds (NOC) and high salt intake; B ) biological factors such as infection of Helicobacter pylori and biotoxins intake; and C ) nutritional factors such as deficiency of vitamin C, selenium, and other antioxidants. Nitrogenous precursors of NOC, e.g., alkylamines, alkylureas, alkylguanidines, and alkylamides, occur widely in nature and potential nitrosating agents, e.g., nitrite (NO2-) and NOx (the gaseous oxides of nitrogen ) are similarly widespread. Relationship between exposure to NOC and causes of human cancer was investigated extensively ten years ago. Results indicated that the exposures of NOC might contribute to the occurrences of malignancy in the upper digestive tracts including stomachs. It was also observed that both high salt intake and deficiency of some micronutrients enhanced NOC-induced carcinogenicity. Recent studies show that infection of H. pylori can lead to atrophic gastritis and achlorhydria, and promote endogenous formation of NOC indirectly[1] . Much attention has been paid to stomach cancer and NOC regarding the characterization of natural N-nitrosamides in human environment in the 1990s. 展开更多
关键词 stomach neoplasms/etiology NITROSO compounds nitrosamides/nitrosourea epidemiology chromatography liquid MICROORGANISMS
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Etiology of inflammatory bowel disease:A unified hypothesis 被引量:14
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作者 Xiaofa Qin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第15期1708-1722,共15页
Inflammatory bowel disease(IBD),including both ulcerative colitis(UC) and Crohn's disease(CD),emerged and dramatically increased for about a century.Despite extensive research,its cause remains regarded as unknown... Inflammatory bowel disease(IBD),including both ulcerative colitis(UC) and Crohn's disease(CD),emerged and dramatically increased for about a century.Despite extensive research,its cause remains regarded as unknown.About a decade ago,a series of findings made me suspect that saccharin may be a key causative factor for IBD,through its inhibition on gut bacteria and the resultant impaired inactivation of digestive proteases and over digestion of the mucus layer and gut barrier(the Bacteria-Protease-Mucus-Barrier hypothesis).It explained many puzzles in IBD such as its emergence and temporal changes in last century.Recently I further found evidence suggesting sucralose may be also linked to IBD through a similar mechanism as saccharin and have contributed to the recent worldwide increase of IBD.This new hypothesis suggests that UC and CD are just two symptoms of the same morbidity,rather than two different diseases.They are both caused by a weakening in gut barrier and only differ in that UC is mainly due to increased infiltration of gut bacteria and the resultant recruitment of neutrophils and formation of crypt abscess,while CD is mainly due to increased infiltration of antigens and particles from gut lumen and the resultant recruitment of macrophages and formation of granulomas.It explained the delayed appearance but accelerated increase of CD over UC and many other phenomena.This paper aims to provide a detailed description of a unified hypothesis regardingthe etiology of IBD,including the cause and mechanism of IBD,as well as the relationship between UC and CD. 展开更多
关键词 etiology Inflammatory bowel disease ulcerative colitis Crohn's disease Dietary chemicals SACCHARIN SUCRALOSE
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Healing property of the Piper betel phenol, allylpyrocatechol against indomethacin-induced stomach ulceration and mechanism of action 被引量:4
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作者 S Bhattacharya D Banerjee +2 位作者 AK Bauri S Chattopadhyay SK Bandyopadhyay 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第27期3705-3713,共9页
AIM:To evaluate the protective activity of allylpyrocatechol (APC), the major antioxidant constituent of Piper betel, against the indomethacin-induced stomach ulceration in the rat model and correlates with its ant... AIM:To evaluate the protective activity of allylpyrocatechol (APC), the major antioxidant constituent of Piper betel, against the indomethacin-induced stomach ulceration in the rat model and correlates with its antioxidative and mucin protecting properties.METHODS: Male Sprague-Dawley rats were divided into five groups. Normal control rats (group Ⅰ ) were given the vehicle oral dose of gum acacia in distilled water (1 mL per rat); ulcerated control and treated rats (groups Ⅱ-V) were given a single dose of indomethacin (30 mg/kg body wt.); group Ⅱ rats were sacrificed 4 h after indomethacin administration; groups Ⅲ-Ⅴ rats were given the vehicle (1 mL per rat) or APC (2 mg/kg body wt.) or misoprostol (1.43 μg/kg body wt.) once daily by oral intubation for 7 d starting from 4 h after the indomethacin administration. After 7 d, the stomach tissues were excised for histological examination and biochemical analysis. RESULTS: Treatment with APC (2 mg/kg body wt per day) and misoprostol (1.43 μg/kg body wt per day) for 7 d could effectively heal the stomach ulceration as revealed from the ulcer index and histopathological studies. Compared to the zero day ulcerated group, treatment with APC and misoprostol reduced the ulcer index by 93.4% and 85.4% respectively (P 〈 0.05). Both APC and misoprostol accelerated ulcer healing observed in natural recovery (P 〈 0.05), their respective healing capacities not being significantly different. The healing capacities of APC and misoprostol could be attributed to their antioxidant activity as well as the ability to enhance the rnucin content of the gastric tissues. Compared to the ulcerated untreated rats, those treated with APC and rnisoprostol showed near normal MDA levels, while the protein levels were 86% and 78% of the normal value respectively (P 〈 0.05). Likewise, both APC and rnisoprostol increased the SOD, catalase, and rnucin levels significantly (P 〈 0.05), the effect of APC being better. CONCLUSION: APC can protect indomethacin-induced gastric ulceration due to its antioxidative and mucin protecting properties. 展开更多
关键词 Allylpyrocatechol Antioxidant HISTOPATHOLOGY Indornethacin MUCIN Piper betel stomach ulcer
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Breastfeeding and genetic factors in the etiology of inflammatory bowel disease in children 被引量:5
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作者 Theresa A Mikhailov Sylvia E Furner 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第3期270-279,共10页
Inflammatory bowel disease is a chronic,debilitating disorder of the gastrointestinal tract.The etiology of inflammatory bowel disease has not been elucidated,but is thought to be multifactorial with both environmenta... Inflammatory bowel disease is a chronic,debilitating disorder of the gastrointestinal tract.The etiology of inflammatory bowel disease has not been elucidated,but is thought to be multifactorial with both environmental and genetic influences.A large body of research has been conducted to elucidate the etiology of inflammatory bowel disease.This article reviews this literature,emphasizing the studies of breastfeeding and the studies of genetic factors,particularly NOD2 polymorphisms. 展开更多
关键词 Inflammatory bowel disease Crohn'sdisease ulcerative colitis etiology Risk factors Protective factors NOD2/CARD15 Single nucleotidepolymorphisms
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Feed Form Affects Growth and Stomach Ulcers in Yearling Horses
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作者 Stephanie N. Warren Pedro De Pedro Gonzalez Kevin H. Kline 《Journal of Agricultural Science and Technology(A)》 2014年第5期449-453,共5页
Fourteen yearling standardbred horses were used to test the hypothesis that hay and grain fed as a complete total mixed ration (TMR) cube diet (C) would result in greater average daily gain (ADG), feed efficien... Fourteen yearling standardbred horses were used to test the hypothesis that hay and grain fed as a complete total mixed ration (TMR) cube diet (C) would result in greater average daily gain (ADG), feed efficiency (gain to feed ratio, G/F) and apparent digestibility in horses on the TMR diet compared to horses fed the same weight and proportion of hay cubes and grain fed separately (diet HG). Both diets consisted of 75% forage and 25% ground oats. The forage in both the plain hay cubes and the complete cubes was 80% alfalfa and 20% endophyte-free tall rescue. An additional hypothesis that stomach ulceration would not differ between horses fed either of the two diet treatments was also tested by comparing upper gastric endoscopies before and after 70 days of feeding the experimental diets. Horses fed diet C had greater ADG (P 〈 0.046) while G/F between the two treatments was not significantly different (P 〉 0.065) but showed a trend to be higher in the horses consuming diet C. Apparent digestibility of dry matter and crude protein was not different between the diet treatments, and no major gastric ulceration was found in horses consuming either diet treatment. The results of this study found that a complete cubed diet of 75% hay and 25% oats did not cause stomach ulceration while achieving an acceptable growth rate in yearling horses. 展开更多
关键词 HORSE GROWTH DIGESTIBILITY total mixed ration stomach ulcer.
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Clinical experience of Professor Xie Jingri in the deficiency-cold of spleen and stomach type of complex peptic ulcer
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作者 Hong-Bo Cai Hai-Qiang Wang +2 位作者 Hong-Yu Cai Hao-Lin Li Guo-Ying Liang 《Journal of Hainan Medical University》 2022年第2期60-64,共5页
Objective:To summarize Professor Xie's clinical experience in treating the deficiency cold of spleen and stomach type of complex peptic ulcer.Methods:through the observation of the curative effect of the patients ... Objective:To summarize Professor Xie's clinical experience in treating the deficiency cold of spleen and stomach type of complex peptic ulcer.Methods:through the observation of the curative effect of the patients with the deficiency cold of spleen and stomach type of complex peptic ulcer in the outpatient department of liver,spleen and stomach department of our hospital,the dialectical application and clinical experience of Professor Xie Jingri's self-made prescription in clinical practice were summarized.Results:Professor Xie Jingri's self-made prescription can effectively improve the clinical symptoms of patients with the deficiency cold of spleen and stomach type of complex peptic ulcer,and through individual syndrome differentiation and treatment,make the self-made prescription vary from person to person,clinical addition and subtraction,so as to further improve the clinical efficacy of patients.Conclusion:Professor Xie Jingri's self-made prescription is effective in treating complex peptic ulcer of spleen stomach deficiency cold type,which is worthy of further clinical application and promotion. 展开更多
关键词 Complex peptic ulcer Deficiency cold of spleen and stomach Professor Xie Jingri Clinical experience
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王奕珊主任医师从浊、气、血论治胃息肉
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作者 叶沿坡 王奕珊 《中医临床研究》 2024年第22期94-98,共5页
胃息肉是指起源于胃黏膜及黏膜下层的隆起型病变,已经成为继慢性萎缩性胃炎之后的第二大胃癌前病变。福建泉州市中医院王奕珊主任医师,师从全国第三批名老中医林禾禧教授,参加过国家中医药管理局“优秀高级临床人才培训班”的培训,福建... 胃息肉是指起源于胃黏膜及黏膜下层的隆起型病变,已经成为继慢性萎缩性胃炎之后的第二大胃癌前病变。福建泉州市中医院王奕珊主任医师,师从全国第三批名老中医林禾禧教授,参加过国家中医药管理局“优秀高级临床人才培训班”的培训,福建省第四批老中医药专家学术经验继承工作指导老师。王奕珊主任在胃息肉的治疗上积累了丰富经验,对于胃息肉的发病机制具有独特见解。她认为,胃息肉的发病与浊、气、血密切相关。“浊”,既包括病从口入的寒,也包括病从口入的毒,还包括了水谷不化的痰湿。胃息肉的产生是一个漫长的过程,“久病入络”“久病必瘀”,因此胃息肉的发病与血瘀密切相关。在浊、气、血三者中,王奕珊主任尤其强调气的作用,气机调畅则百病不生;气机不畅则始生胃息肉。随着现代生活节奏加快,人们生活工作压力增加,伴有焦虑已经成为胃息肉就诊患者中的普遍现象。焦虑则中焦气机郁滞,导致了胃息肉的形成。王奕珊主任认为,焦虑在胃息肉形成中具有举足轻重的作用。总之,王主任将胃息肉的发病机制精炼地概括为“浊、气、血”,本研究结合案例详细阐述,以期为临床提供参考。 展开更多
关键词 息肉 机制 中医 病因
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65例胃早癌脉管侵犯的相关因素分析
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作者 刘克伟 鲍丽静 +3 位作者 蒋丰娟 林加湘 张鹏飞 孙乐 《中国卫生标准管理》 2024年第8期119-122,共4页
目的探讨胃早癌脉管侵犯的相关因素。方法回顾性分析江苏省扬州市江都人民医院2018年1月—2023年6月收治的65例胃早癌内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)患者资料。根据术后病理结果将患者分为脉管侵犯组与非侵犯... 目的探讨胃早癌脉管侵犯的相关因素。方法回顾性分析江苏省扬州市江都人民医院2018年1月—2023年6月收治的65例胃早癌内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)患者资料。根据术后病理结果将患者分为脉管侵犯组与非侵犯组,分别为31例和34例。分析各组病例的临床特征、胃镜表现及病理特点,通过logistic回归分析探讨胃癌发生脉管浸润的独立危险因素。结果病灶>2 cm(OR=4.959,95%CI1.490~16.500)、合并溃疡(OR=3.667,95%CI 1.429~21.950)、Kit-67指数>30%(OR=9.601,95%CI2.530~36.373)、病理分化差(OR=6.440,95%CI1.822~22.760)及浸润深度T1b(tumour infiltration depth 1b,T1b)(OR=6.301,95%CI1.913~20.802)对胃早癌脉管侵犯有影响(P<0.05)。Kit-67指数>30%是脉管转移独立高危因素(P<0.05)。结论脉管侵犯与多种因素有关,Kit-67指数对评估是否合并脉管侵犯有重要临床意义。 展开更多
关键词 胃早癌 ESD 病灶大小 合并溃疡 Kit-67 病理分化差 浸润深度
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补益脾胃溃结方对脾胃虚弱型溃疡性结肠炎患者的临床疗效 被引量:1
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作者 陈教华 彭迎迎 +1 位作者 胡晓阳 张全辉 《中成药》 CAS CSCD 北大核心 2024年第4期1173-1177,共5页
目的 探讨补益脾胃溃结方对脾胃虚弱型溃疡性结肠炎患者的临床疗效。方法 132例患者随机分为对照组和观察组,每组66例,对照组给予常规治疗,观察组在对照组基础上加用补益脾胃溃结方,疗程4周。检测临床疗效、Mayo评分、SF-36评分、中医... 目的 探讨补益脾胃溃结方对脾胃虚弱型溃疡性结肠炎患者的临床疗效。方法 132例患者随机分为对照组和观察组,每组66例,对照组给予常规治疗,观察组在对照组基础上加用补益脾胃溃结方,疗程4周。检测临床疗效、Mayo评分、SF-36评分、中医证候评分、5-HT、IL-6、TNF-α、IL-4、CD4^(+)/CD8^(+)、LPS、TGF-β1、DAO变化。结果 观察组总有效率高于对照组(P<0.05)。治疗后,2组Mayo评分、中医证候评分、TNF-α、LPS、5-HT、IL-6、CD4^(+)/CD8^(+)、DAO降低(P<0.05),SF-36评分、TGF-β1、IL-4升高(P<0.05),以观察组更明显(P<0.05)。结论 补益脾胃溃结方可减轻脾胃虚弱型溃疡性结肠炎患者炎症反应,调节免疫功能,抑制疼痛介质分泌,促进肠黏膜修复,提高临床疗效。 展开更多
关键词 补益脾胃溃结方 常规治疗 溃疡性结肠炎 脾胃虚弱
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溃疡性结肠炎的中医药治疗研究进展 被引量:2
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作者 王建成 齐洪军 郭洁洁 《实用中医内科杂志》 2024年第2期106-109,共4页
溃疡性结肠炎(ulcerative colitis,UC)是一种病因尚不十分明确、以结直肠黏膜连续性、弥漫性炎症改变为特点的慢性非特异性肠道炎性疾病,其病变主要限于大肠黏膜和黏膜下层。西医尚无可治愈该病的特效药物,氨基水杨酸类、糖皮质激素或... 溃疡性结肠炎(ulcerative colitis,UC)是一种病因尚不十分明确、以结直肠黏膜连续性、弥漫性炎症改变为特点的慢性非特异性肠道炎性疾病,其病变主要限于大肠黏膜和黏膜下层。西医尚无可治愈该病的特效药物,氨基水杨酸类、糖皮质激素或免疫抑制剂虽对本病均有一定疗效,但服药时间长,不良反应大;中医药治疗慢性溃疡性结肠炎具有自身特点和独特优势,疗效稳定,不易复发,避免了西药治疗带来的不良反应,且治疗费用低廉,符合国情,深受患者欢迎,具有广阔的应用前景。该文就中医治疗溃疡性结肠炎的研究进展进行分析探讨,综述如下。 展开更多
关键词 溃疡性结肠炎 病因病机 中医治疗 研究进展
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黄河三角洲地区135例小肠溃疡的临床分析
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作者 郝佳慧 李琨 +3 位作者 王娜 储琳琳 孙虓 刘成霞 《中国医学创新》 CAS 2024年第1期145-148,共4页
目的:总结黄河三角洲地区小肠溃疡患者的病因构成、内镜表现及临床特点,为临床诊治提供依据。方法:回顾性分析2020年5月1日—2023年3月1日于滨州医学院附属医院经小肠镜或胶囊内镜首次诊断为小肠溃疡的135例患者的临床资料。结果:黄河... 目的:总结黄河三角洲地区小肠溃疡患者的病因构成、内镜表现及临床特点,为临床诊治提供依据。方法:回顾性分析2020年5月1日—2023年3月1日于滨州医学院附属医院经小肠镜或胶囊内镜首次诊断为小肠溃疡的135例患者的临床资料。结果:黄河三角洲地区小肠溃疡多发于40~59岁,男女比例为1.55︰1。小肠溃疡的病因主要以克罗恩病最多见,临床表现多为腹痛、腹泻、便血和黑便,影像学检查特点为小肠管壁增厚、肠系膜淋巴结肿大及小肠管腔狭窄。小肠镜及胶囊内镜检出率分别为26.83%及8.67%,常见溃疡部位为回肠、回盲部和空肠,内镜下溃疡特点以不规则样、纵行、环形、节段性为主,病理改变主要是黏膜慢性炎和伴炎细胞浸润。结论:小肠溃疡的病因复杂,临床特点缺乏特异性,小肠镜及胶囊内镜有助于小肠溃疡的诊断,但内镜下的表现常有重叠,病理活检在疾病的诊断中仍具有一定的局限性,应进一步探究CT等辅助检查在小肠溃疡诊断及鉴别诊断中的作用。 展开更多
关键词 小肠溃疡 胶囊内镜 小肠镜 病因诊断
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韩捷基于脏腑气化论治溃疡性结肠炎腹胀经验
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作者 朱宇 郑雪冰 +2 位作者 孔欣 袁媛 韩捷 《辽宁中医杂志》 CAS 北大核心 2024年第3期27-30,共4页
韩捷教授从脏腑气化学说探讨溃疡性结肠炎腹胀,认为土虚木贼导致的腹胀与肝脾气化失常有关,食积湿热导致的腹胀与脾胃气化失常有关,清浊相混、气机郁滞所致腹胀与肠胃气化紧密联系,虚寒所致腹胀与脾肾气化相关联。其中尤以脾胃气化为主... 韩捷教授从脏腑气化学说探讨溃疡性结肠炎腹胀,认为土虚木贼导致的腹胀与肝脾气化失常有关,食积湿热导致的腹胀与脾胃气化失常有关,清浊相混、气机郁滞所致腹胀与肠胃气化紧密联系,虚寒所致腹胀与脾肾气化相关联。其中尤以脾胃气化为主。在治疗上斡旋中焦气机,辨证选用疏肝、通调腑气、温补肾阳等法,使脏腑气化功能复常,气机通调,水谷精微吸收布散复常,则无胀满之机。韩捷教授从脏腑气化学说探讨溃疡性结肠炎腹胀之机,探寻腹胀之治,在临床取得较好疗效。 展开更多
关键词 溃疡性结肠炎 腹胀 脏腑气化 脾胃 经验
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基于“土虚木郁”探讨腹泻型肠易激综合征与溃疡性结肠炎共同发病机制及证治
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作者 李璇 李中玉 +3 位作者 马金鑫 陈婷 王凤云 唐旭东 《辽宁中医杂志》 CAS 北大核心 2024年第4期54-57,共4页
腹泻型肠易激综合征(IBS-D)与溃疡性结肠炎(UC)是临床较为常见的消化系统疾病,二者虽在疾病性质上有所不同,但在临床症状表现、发病机制及治疗策略等方面有诸多类似之处。基于对中医古籍的研究及临证经验的总结,众多中医学者认为“土虚... 腹泻型肠易激综合征(IBS-D)与溃疡性结肠炎(UC)是临床较为常见的消化系统疾病,二者虽在疾病性质上有所不同,但在临床症状表现、发病机制及治疗策略等方面有诸多类似之处。基于对中医古籍的研究及临证经验的总结,众多中医学者认为“土虚木郁”是此二者疾病共同的发病机制,治疗时从肝脾论治往往可取得满意的临床疗效。多项现代医学研究表明中医“土虚木郁”与脑肠互动异常、肠道菌群-胆汁酸轴失衡等IBS-D和UC共同的病理生理学改变密切相关。该文基于中医“异病同治”理念及现代医学研究进展,以“土虚木郁”为切入点,探讨IBS-D和UC共同的发病机制及临床证治。 展开更多
关键词 腹泻型肠易激综合征 溃疡性结肠炎 土虚木郁 病因病机 健脾疏肝
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降钙素基因相关肽在胃溃疡模型小鼠穴位敏化中的作用研究 被引量:3
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作者 杨雪 郑璇 +4 位作者 袁伟 吴宇蔚 刁志君 薛思梦 乔海法 《上海针灸杂志》 CSCD 2024年第1期81-88,共8页
目的从分子生物学的角度,探讨降钙素基因相关肽(calcitonin gene-related peptide,CGRP)在慢性胃溃疡模型小鼠穴位敏化过程中的作用。方法将C57BL/6小鼠随机分为对照组和模型组,每组15只,将冰乙酸溶液于胃小弯近幽门处注射到胃壁肌层近... 目的从分子生物学的角度,探讨降钙素基因相关肽(calcitonin gene-related peptide,CGRP)在慢性胃溃疡模型小鼠穴位敏化过程中的作用。方法将C57BL/6小鼠随机分为对照组和模型组,每组15只,将冰乙酸溶液于胃小弯近幽门处注射到胃壁肌层近黏膜下层构建慢性胃溃疡模型,随后在小鼠尾静脉上注射伊文思蓝,观察穴位敏化点的体表分布规律;HE染色法观察胃部组织在造模前后的病理形态变化;通过体表痛敏行为学实验,观察小鼠痛觉阈值的改变;蛋白质印迹法、免疫荧光染色法检测穴位敏化后脊髓、背根神经节(dorsal root ganglion,DRG)和皮肤中的CGRP表达。结果通过向小鼠胃部注射冰乙酸可诱导其形成符合胃溃疡典型病理特征的动物模型;对照组EB渗出点较少,模型组EB渗出点分散于脊髓T_(1)~T_(13)节段支配区域,其中以T_(9)~_(T11)区域最为集中,且其伊文思蓝渗出点压痛阈较造模前显著降低(P<0.01)。穴位敏化后模型组的脊髓、DRG和皮肤中的CGRP蛋白和荧光蛋白阳性表达显著高于对照组(P<0.01)。结论冰乙酸诱导小鼠形成胃溃疡后,其胃部组织病变所对应的体表敏化区、相应的脊髓T9~T11节段和DRG神经元中CGRP表达增高,可能是引起外周和中枢痛觉敏化,使体表局部出现神经源性炎性反应,介导穴位敏化的原因。 展开更多
关键词 胃溃疡 穴位敏化 痛阈 降钙素基因相关肽 小鼠
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口腔洁含漱液对脾胃伏火型复发性口腔溃疡患者口腔菌群、血清炎症因子和T细胞亚群水平的影响
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作者 魏静 何翔 +5 位作者 周洪玲 李惠菁 黄小瑾 袁强华 左渝陵 吴也可 《中药新药与临床药理》 CAS CSCD 北大核心 2024年第4期587-594,共8页
目的探讨口腔洁含漱液对脾胃伏火型复发性口腔溃疡患者口腔菌群、血清炎症因子和T细胞亚群水平的影响。方法选取2022年4月至2023年3月成都中医药大学附属医院口腔科和四川大学华西口腔医院口腔黏膜科收治的脾胃伏火型复发性口腔溃疡患... 目的探讨口腔洁含漱液对脾胃伏火型复发性口腔溃疡患者口腔菌群、血清炎症因子和T细胞亚群水平的影响。方法选取2022年4月至2023年3月成都中医药大学附属医院口腔科和四川大学华西口腔医院口腔黏膜科收治的脾胃伏火型复发性口腔溃疡患者64例为研究对象,按照随机数字表法分为试验组(32例)和对照组(32例),对照组患者给予醋酸曲安奈德乳膏治疗,试验组在对照组基础上联合口腔洁含漱液含漱、吞服,每日3次,持续治疗7 d。观察两组患者临床疗效,评价两组治疗前后,以及治疗后组间的中医证候积分、疼痛指数、疼痛持续时间和溃疡愈合时间;实时荧光定量PCR法分析口腔菌群(链球菌、韦荣氏菌、奈瑟氏菌)DNA浓度;ELISA法检测血清炎症因子[肿瘤坏死因子α(TNF-α)、白细胞介素(IL)-6、IL-8]含量;流式细胞术测定血清T细胞亚群水平[T淋巴细胞(CD3^(+))、辅助性T淋巴细胞(CD4^(+))、CD4^(+)/细胞毒性T淋巴细胞(CD8^(+))]。同时记录治疗期间不良反应,比较6个月后复发情况。结果试验组临床疗效、疼痛抑制效果和溃疡愈合速率均优于对照组(P<0.05);两组患者治疗后口腔内链球菌和韦荣氏菌DNA浓度明显高于治疗前,且试验组高于对照组,差异均有统计学意义(P<0.05);两组患者治疗后血清炎症因子TNF-α、IL-6、IL-8含量相较治疗前降低,CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)相较治疗前升高,且试验组改善程度优于对照组,差异均有统计学意义(P<0.05)。试验组复发率显著低于对照组(P<0.05)。结论口腔洁含漱液治疗脾胃伏火型复发性口腔溃疡患者,可显著提高临床疗效,改善口腔菌群构成,抑制血清炎性反应水平,提高细胞免疫功能,降低复发率,值得临床推广应用。 展开更多
关键词 口腔洁含漱液 复发性口腔溃疡 脾胃伏火型 口腔菌群 炎症因子 T细胞亚群
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中医药防治溃疡性结肠炎机制研究进展
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作者 黄水兰 张磊昌 +4 位作者 高强强 郭昌 谭书法 王宏福 崔亚萍 《辽宁中医杂志》 CAS 北大核心 2024年第7期206-212,共7页
溃疡性结肠炎(ulcerative colitis UC)是临床上发病原因尚不明确的炎症性肠病,治疗UC在目前国际上仍旧是一个医学难题。中医认为UC发病是感受外邪、饮食不节、情志等因素所致发病。现代医学则认为发病与基因遗传、病菌感染、免疫异常、... 溃疡性结肠炎(ulcerative colitis UC)是临床上发病原因尚不明确的炎症性肠病,治疗UC在目前国际上仍旧是一个医学难题。中医认为UC发病是感受外邪、饮食不节、情志等因素所致发病。现代医学则认为发病与基因遗传、病菌感染、免疫异常、肠道环境、防御机能、精神因素及环境影响等因素密切相关,其机制研究上与肠道菌群失调、免疫系统紊乱、氧化还原失衡、精神心理刺激等方面相关。目前西医治疗多采用抗菌药物治疗、激素治疗、免疫抑制剂等方式,有手术指征的行手术治疗。中医药治疗上根据患者整体情况进行辨证施治,给予中药口服、灌肠及传统中医特色治疗等,作用以调节控制免疫系统、修复肠道黏膜屏障、肠道菌群调节、纠正氧化-抗氧化失衡、改善血液流变学指标等。近些年中医药治疗UC的研究机制逐渐深入,但中医药关于全面整理防治作用机制的文章相对较少。文中基于UC发病的中西医研究,对中医药防治UC的机制进行综述,提供较为全面的临床与实验研究认识,为进一步深入探讨UC的发病、治疗及相应的机制研究提供参考。 展开更多
关键词 溃疡结肠炎 作用机制 研究进展 中医药 病因病机
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基于《金匮要略》论治溃疡性结肠炎
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作者 周腊英 林爱珍 《光明中医》 2024年第7期1293-1295,共3页
目的 基于《金匮要略》论治溃疡性结肠炎(UC),为临床辨治此病开拓新思路。方法 通过学习《金匮要略》、参考相关注家注释以及结合UC的现代研究成果,剖析并提炼《金匮要略》中对此病病因病机、治法方药、调理养护的思想。结果 《金匮要... 目的 基于《金匮要略》论治溃疡性结肠炎(UC),为临床辨治此病开拓新思路。方法 通过学习《金匮要略》、参考相关注家注释以及结合UC的现代研究成果,剖析并提炼《金匮要略》中对此病病因病机、治法方药、调理养护的思想。结果 《金匮要略》认为UC的病机为先天不足,脾肾阳虚,本虚标实共致气滞血瘀湿停、脂络受损;标本兼治,治本“当以温药和之”,辅以行气化瘀、缓肝解郁、清热解毒、消痈排脓等祛除标实;强调日常调护需“近其所喜,远其所恶”。结论 《金匮要略》中论述的有关UC的论治,对于现代医学认识、治疗及调护UC具有现实意义。 展开更多
关键词 肠痈 溃疡性结肠炎 病因病机 《金匮要略》
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基于《外科证治全生集》探讨糖尿病足溃疡的中医病因病机及治疗原则
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作者 黄琦 龚光明 《中国医药科学》 2024年第19期102-105,共4页
糖尿病足溃疡(DFU)是糖尿病患者致残和致死的主要原因之一,由于其复杂的病理机制和多种并发症的影响,导致疾病预后效果很差,临床病死率和致残率甚至比大多数癌症都要高。对于DFU的病理生理机制和病因需要更深入的研究。了解疾病的发病... 糖尿病足溃疡(DFU)是糖尿病患者致残和致死的主要原因之一,由于其复杂的病理机制和多种并发症的影响,导致疾病预后效果很差,临床病死率和致残率甚至比大多数癌症都要高。对于DFU的病理生理机制和病因需要更深入的研究。了解疾病的发病机制和病因有助于更好地制订治疗方案和预防措施,为患者提供更好的治疗。《外科证治全生集》被誉为“阳虚阴实”的精髓,它汇集了清代著名医学家王维德四十多年的临床实践,为解决DFU的复杂性、持久性、安全性、效果及预后提供了宝贵的参考,在当今社会,它仍然具备极强的指导意义。故本文基于《外科证治全生集》对临床DFU病因及治疗方法进行探讨,以期为临床提供新的辨证及治疗思路。 展开更多
关键词 糖尿病足溃疡 《外科证治全生集》 病因病机 治疗原则
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黄芪建中汤加味对脾胃虚寒型胃溃疡的影响
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作者 李少华 《中外医学研究》 2024年第13期120-123,共4页
目的:探讨黄芪建中汤加味对脾胃虚寒型胃溃疡的影响。方法:选取2022年6月—2023年8月淄博市中医医院收治的76例脾胃虚寒型胃溃疡患者。随机将其分为对照组和观察组,各38例。对照组给予常规治疗,观察组在对照组基础上给予黄芪建中汤加味... 目的:探讨黄芪建中汤加味对脾胃虚寒型胃溃疡的影响。方法:选取2022年6月—2023年8月淄博市中医医院收治的76例脾胃虚寒型胃溃疡患者。随机将其分为对照组和观察组,各38例。对照组给予常规治疗,观察组在对照组基础上给予黄芪建中汤加味治疗。比较两组治疗前后炎症因子、中医症候积分、氧化应激指标及临床疗效。结果:治疗后,两组白细胞介素-10(IL-10)、白细胞介素-6(IL-6)与肿瘤坏死因子-α(TNF-α)水平低于治疗前,观察组IL-6、IL-10、TNF-α水平低于对照组,差异有统计学意义(P<0.05)。治疗后,两组丙二醛(MDA)低于治疗前,超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)高于治疗前,观察组MDA低于对照组,SOD及GSH-Px均高于对照组,差异有统计学意义(P<0.05)。治疗后,两组胃脘疼痛、胸胁满闷、食欲不振、嗳气吞酸及倦怠乏力评分均低于治疗前,观察组胃脘疼痛、胸胁满闷、食欲不振、嗳气吞酸及倦怠乏力评分均低于对照组,差异有统计学意义(P<0.05)。观察组总有效率为94.74%,高于对照组的76.32%,差异有统计学意义(P<0.05)。结论:在西药治疗基础上联合黄芪建中汤加味可有效减轻脾胃虚寒型胃溃疡患者的炎症反应,改善其氧化应激反应,改善其病情,提高治疗效果。 展开更多
关键词 黄芪建中汤 脾胃虚寒型 胃溃疡 炎症因子 氧化应激 中医症候积分
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