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胃泌素调节激素在双歧杆菌中的表达及其转化双歧杆菌对肥胖小鼠体质的影响 被引量:2
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作者 龙若庭 曾位森 +3 位作者 罗深秋 郭娇 林元藻 黄清松 《南方医科大学学报》 CAS CSCD 北大核心 2009年第9期1796-1798,共3页
目的观察载体pBBADs-OXM转化双歧杆菌对肥胖小鼠的减肥作用。方法以电穿孔方法将pBBADs-OXM转入双歧杆菌,ELISA及免疫印迹法检测pBBADs-OXM转化长双歧杆菌培养上清及菌体沉淀中OXM的表达。并以此转化双歧杆菌灌饲肥胖小鼠,观察肥胖鼠体... 目的观察载体pBBADs-OXM转化双歧杆菌对肥胖小鼠的减肥作用。方法以电穿孔方法将pBBADs-OXM转入双歧杆菌,ELISA及免疫印迹法检测pBBADs-OXM转化长双歧杆菌培养上清及菌体沉淀中OXM的表达。并以此转化双歧杆菌灌饲肥胖小鼠,观察肥胖鼠体质量的变化。结果ELISA、免疫印迹法检测到OXM在pBBADs-OXM转化的双歧杆菌的培养上清及菌体中均有表达。此转化双歧杆菌灌饲的肥胖小鼠体质量显著低于模型组肥胖小鼠(P<0.05)。结论pBBADs-OXM转化的双歧杆菌具有减肥作用。 展开更多
关键词 双歧杆菌 胃泌素调节激素 pBBADs—OXM 体质量 肥胖 奥利司他
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腹腔镜结直肠癌根治术患者术后胃泌素类胃肠激素的变化
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作者 杨凤兰 《医疗装备》 2019年第21期71-72,共2页
目的探讨腹腔镜结直肠癌根治术患者术后胃泌素类胃肠激素的变化情况。方法选取2016年1月至2018年11月医院收治的70例结直肠癌根治术患者作为研究对象,根据治疗方式的不同分为对照组(采用开腹手术)和试验组(采用腹腔镜手术),各35例,比较... 目的探讨腹腔镜结直肠癌根治术患者术后胃泌素类胃肠激素的变化情况。方法选取2016年1月至2018年11月医院收治的70例结直肠癌根治术患者作为研究对象,根据治疗方式的不同分为对照组(采用开腹手术)和试验组(采用腹腔镜手术),各35例,比较两组的胃肠功能恢复时间及手术前后的胃泌素类胃肠激素水平。结果试验组胃肠功能恢复时间短于对照组,差异有统计学意义(P<0.05);术前,两组胃泌素类胃肠激素水平比较,差异无统计学意义(P>0.05);术后,试验组胃泌素类胃肠激素水平高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜结直肠癌根治术患者术后胃泌素类胃肠激素的波动相对较小,胃肠功能恢复时间更短,效果优于开腹手术。 展开更多
关键词 腹腔镜手术 开腹手术 结直肠癌根治术 胃肠功能 胃泌素类胃肠激素
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双歧杆菌四联活菌片在减轻轮状病毒性腹泻患儿心肌损害中的应用 被引量:9
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作者 姜琳 田晓博 《河北医学》 CAS 2019年第12期2075-2079,共5页
目的:探究在减轻轮状病毒性腹泻患儿心肌损害治疗中双歧杆菌四联活菌片的应用价值,并总结临床经验。方法:选取2018年9月至2019年3月我科诊治的74例轮状病毒性腹泻患儿,以随机数字法划分为对照组(37例)和观察组(37例),对照组进行常规治疗... 目的:探究在减轻轮状病毒性腹泻患儿心肌损害治疗中双歧杆菌四联活菌片的应用价值,并总结临床经验。方法:选取2018年9月至2019年3月我科诊治的74例轮状病毒性腹泻患儿,以随机数字法划分为对照组(37例)和观察组(37例),对照组进行常规治疗,观察组在常规基础上进行双歧杆菌四联活菌片治疗,记录并分析治疗前后两组患儿持续腹泻时间、血清中激素胃泌素(GAS)、胃动素(MOT)、血管活性肠肽(VIP)的水平变化以及两组患儿的治疗效果。结果:治疗7d后观察组患儿持续腹泻时间(3.69±0.98d)低于对照组(4.40±1.04d)(P<0.05);治疗前血清中三组激素指标不存在统计学差异(p>0.05),治疗后的观察组GAS(725.45±123.74μg)、MOT(266.41±58.47μg)、VIP(144.28±40.19μg)水平均有所降低,且观察组水平低于对照组(P<0.05);治疗前观察组患儿腹泻时间与对照组无统计学差异;治疗4d、7d后两组患儿持续腹泻时间均有所下降,且治疗7d后患儿持续腹泻时间高于治疗4d,但低于治疗前;治疗7d后观察组患儿持续腹泻时间(3.69±0.98d)低于对照组(4.40±1.04d)(P<0.05);治疗后观察组的总有效治疗率(94.59%)显著高于对照组(75.68%)(P<0.05)。结论:双歧杆菌四联活菌片在减轻轮状病毒性腹泻治疗中发挥明显作用,能够明显患儿体内致病激素和炎因子,加快常规治疗速度,值得在相关临床疾病中推广。 展开更多
关键词 双歧杆菌四联活菌片 轮状病毒 激素胃泌素 胃动素 血管活性肠肽
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Sphincter of Oddi hypomotility and its relationship with duodenal-biliary reflux,plasma motilin and serum gastrin 被引量:22
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作者 Zhen-Hai Zhang Shuo-Dong Wu +4 位作者 Bing Wang Yang Su Jun-Zhe Jin Jing Kong Hao-Lin Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第25期4077-4081,共5页
AIM: To detect whether patients with a T tube after cholecystectomy and choledochotomy have duodenal-biliary reflux by measuring the radioactivity of Tc99m-labeled diethylene triamine penta-acetic acid (DTPA) in the b... AIM: To detect whether patients with a T tube after cholecystectomy and choledochotomy have duodenal-biliary reflux by measuring the radioactivity of Tc99m-labeled diethylene triamine penta-acetic acid (DTPA) in the bile and whether the patients with duodenal-biliary reflux have sphincter of Oddi hypomotility, by mea-suring the level of plasma and serum gastrin of the patients. Finally to if there is close relationship among sphincter of Oddi hypomotility, duodenal-biliary reflux and gastrointestinal peptides. METHODS: Forty-five patients with a T tube after cholecystectomy and choledochotomy were divided into reflux group and control group. The level of plasma and serum gastrin of the patients and of 12 healthy volunteers were measured by radioimmunoas-say. Thirty-four were selected randomly to undergo choledochoscope manometry. Sphincter of Oddi basal pressure (SOBP), amplitude (SOCA), frequency of con-tractions (SOF), duration of contractions (SOD), duo-denal pressure (DP) and common bile duct pressure (CBDP) were scored and analyzed. RESULTS: Sixteen (35.6%) patients were detected to have duodenal-biliary reflux. SOBP, SOCA and CBDP in the reflux group were much lower than the controlgroup (t = 5.254, 3.438 and 3.527, P < 0.001). SOD of the reflux group was shorter than the control group (t = 2.049, P < 0.05). The level of serum gastrin and plasma motilin of the reflux group was much lower than the control group (t = -2.230 and -2.235, P < 0.05). There was positive correlation between the level of plasma motilin and SOBP and between the level of serum gastrin and SOBP and CBDP. CONCLUSION: About 35.9% of the patients with a T tube after cholecystectomy and choledochotomy have duodenal-biliary reflux. Most of them have sphincter of Oddi hypomotility and the decreased level of plasma motilin and serum gastrin. The disorder of gastroin-testinal hormone secretion may result in sphincter of Oddi dysfunction. There is a close relationship between sphincter of Oddi hypomotility and duodenal-biliary re-flux. 展开更多
关键词 Sphincter of Oddi Tc99m-labeled diethylenetriamine penta-acetic acid PRESSURE MOTILIN GASTRIN
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Effects of intra-gastric beta-casomorphin-7 on somatostatin and gastrin gene expression in rat gastric mucosa 被引量:7
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作者 Ya-Feng Zong Wei-Hua Chen Yuan-Shu Zhang Si-Xiang Zou 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第14期2094-2099,共6页
AIM: To investigate the in vivo effect of beta-casomorphin-7on the regulation of gastric somatostatin and gastrin messenger RNA in rat gastric mucosa.METHODS: Somatostatin and gastrin mRNA were quantified by RT-PCR ... AIM: To investigate the in vivo effect of beta-casomorphin-7on the regulation of gastric somatostatin and gastrin messenger RNA in rat gastric mucosa.METHODS: Somatostatin and gastrin mRNA were quantified by RT-PCR and in situ hybridization (ISH)in 24 rats. The rats were divided into three treatment groups: basal diet + physiological saline (n = 8), basal diet + beta-casomorphin-7 (7.5 × 10^-7 mol) (n = 8),and basal diet + poly-Gly-7 (containing equal mol of N with 7.5 × 10^-7 mol beta-casomorphin-7) (n = 8).After oral administration for 30 days, rats were killed by exsanguinations.RESULTS: After intra-gastric administration of betacasomorphin-7 for 30 d, gastrin mRNA increased by 52.8% (P 〈 0.05, n = 8), and somatostatin mRNA levels decreased by 30.7% compared with the controls (P 〈0.01, n = 8). No significant differences in the expression of the two genes were observed in the poly-Gly-treated group, although gastrin mRNA expression was elevated by 35.6% as against the control group (P = 0.15, n =8). The long-term oral administration of a casomorphin solution significantly decreased the even gray of D-cells,but did not lower the number of D-cells both in the antrum and fundus. Interestingly, the number of G-cells increased in the antrum and fundus, but its average density was augmented only in the antrum.CONCLUSION: Beta-casomorphin-7 is capable of modulating gene expression of the regulatory peptides from G and D cells. Data from in situ hybridization studies indicate that beta-casomorphin-7 affects gastrin gene expression indirectly by means of the paracrine action of somatostatin, and depends on its intrinsic molecular function. 展开更多
关键词 Beta-casomorphin-7 Adult rat SOMATOSTATIN GASTRIN Expression
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Progastrin-releasing peptide and gastrin-releasing peptide receptor mRNA expression in non-tumor tissues of the human gastrointestinal tract 被引量:7
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作者 Hans-Jürg Monstein Niclas Grahn +1 位作者 Mikael Truedsson Bodil Ohisson 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第16期2574-2578,共5页
AIM: To investigate the expression of gastrin-releasing peptide (GRP) and GRP-receptor mRNA in non-tumor tissues of the human esophagus, gastrointestinal tract, pancreas and gallbladder using molecular biology tech... AIM: To investigate the expression of gastrin-releasing peptide (GRP) and GRP-receptor mRNA in non-tumor tissues of the human esophagus, gastrointestinal tract, pancreas and gallbladder using molecular biology techniques. METHODS: Poly A^+ mRNA was isolated from total RNA extracts using an automated nucleic acid extractor and, subsequently, converted into single-stranded cDNA (sscDNA). PCR amplifications were carried out using genespecific GRP and GRP-receptor primers. The specificity of the PCR amplicons was further confirmed by Southern blot analyses using gene-specific GRP and GRP-receptor hybridization probes. RESULTS: Expression of GRP and GRP-receptor mRNA was detected at various levels in nearly all segments of the non-tumor specimens analysed, except the gallbladder. In most of the biopsy specimens, coexpression of both GRP and GRP-receptor mRNA appeared to take place. However, expression of GRP mRNA was more prominent than was GRP-receptor mRNA. CONCLUSION: GRP and GRP-receptor mRNAs are expressed throughout the gastrointestinal tract and provides information for the future mapping and determination of its physiological importance in normal and tumor cells. 展开更多
关键词 Gastrin releasing peptide (GRP) Gastrinreleasing peptide receptor (GRPR) mRNA expression MORPHOGENESIS Gastrointestinal tract
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Relationship between expression of gastrin, somatostatin,Fas/FasL and caspases in large intestinal carcinoma 被引量:15
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作者 Jia-Ding Mao Pei Wu Ying-Lin Yang Jian Wu He Huang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第18期2802-2809,共8页
AIM: To explore the correlation between the mRNAs and protein expression of gastrin (GAS), somatostatin (SS) and apoptosis index (AI), apoptosis regulation gene Fas/ FasL and caspases in large intestinal carcinoma (LI... AIM: To explore the correlation between the mRNAs and protein expression of gastrin (GAS), somatostatin (SS) and apoptosis index (AI), apoptosis regulation gene Fas/ FasL and caspases in large intestinal carcinoma (LIC). METHODS: Expression of GAS and SS mRNAs were detected by nested RT-PCR in 79 cases of LIC. Cell apoptosis was detected by molecular biology in situ apoptosis detecting methods (TUNEL). Immunohistochemical staining for GAS, SS, Fas/FasL, caspase-3 and caspase-8 was performed according to the standard streptavidin-biotin-peroxidase (S-P) method. RESULTS: There was a significant positive correlation between mRNA and protein expression of GAS and SS (GASrs=0.99, P < 0.01; SSrs = 0.98, P < 0.01). There was significant difference in positive expression rates of GAS, SS mRNAs and protein among different histological differentiation, histological types and Dukes’ stage of LIC. The AI in GAS high and moderate expression groups was significantly lower than that in low expression groups (3.75 ± 2.38 vs 7.82 ± 2.38, P < 0.01; 5.51 ± 2.66 vs 7.82 ± 2.38, P < 0.01), and the AI in SS high and moderate expression groups was significantly higher than that in low expression groups (9.03 ± 1.76 vs 5.35 ± 3.00, P < 0.01; 7.44 ± 2.67 vs 5.35 ± 3.00, P < 0.01). There was a significant negative correlation between the integral ratio of GAS to SS and the AI (rs = -0.41, P < 0.01). The positive expression rate of FasL in GAS high and moderate expression groups was higher than thatin low expression group (90.9% and 81.0% vs 53.2%, P < 0.05). The positive expression rates of Fas, caspase-8 and caspase-3 in SS high (90.0%, 90.0% and 100%) and moderate (80.0%, 70.0%, 75.0%) expression groups were higher than that in low expression group (53.1%, 42.9%, 49.0%) (90.0% and 80.0% vs 53.1%, P < 0.05; 90.0% and 70.0% vs 42.9%, P < 0.05; 100.0% and 75.0% vs 49.0%, P < 0.05). There was a significant positive correlation between the integral ratio of GAS to SS and the semiquantitative integral of FasL (rs = 0.32, P < 0.01). CONCLUSION: GAS and SS play important roles in the regulation and control of cell apoptosis in LIC, and the mechanism may be directly related to the aberrant expression of Fas/FasL. The GAS and SS will be valuable targets of the biological behavior of LIC. 展开更多
关键词 Large intestinal carcinoma GASTRIN SOMATOSTATIN Apoptosis index Fas FasL Caspase
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Neuroendocrine gastric carcinoma expressing somatostatin: A highly malignant, rare tumor 被引量:1
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作者 Jaques Waisberg Leandro Luongo de Matos +4 位作者 Ana Maria do Amaral Antonio Mader Sérgio Pezzolo Esmeralda Miristene Eher Vera Luiza Capelozzi Manlio Basilio Speranzini 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第24期3944-3947,共4页
Poorly differentiated gastric neuroendocrine carcinomas, although rare, deserve particular attention, as they are aggressive and have an extremely poor prognosis. In this report we describe a gastric neuroendocrine ca... Poorly differentiated gastric neuroendocrine carcinomas, although rare, deserve particular attention, as they are aggressive and have an extremely poor prognosis. In this report we describe a gastric neuroendocrine carcinoma with rapidly fatal outcome. Immunohistological staining of the resected specimens revealed that the tumor was an endocrine carcinoma. The tumor disclosed intense immunoreactivity to pan-neuroendocrine markers and diffuse somatostatin immunoreactivity. There were no psammoma bodies and no demonstrable association with yon Recklinghausen's neurofibromatosis. In the gastrointestinal tract, neuroendocrine tumors producing predominantly somatostatin have been described only in the duodenum. To the best of our knowledge, the present report is the second case report of a neuroendocrine gastric carcinoma expressing diffusely somatostatin as the only neuroendocrine regulatory peptide. 展开更多
关键词 Neuroendocrine carcinoma Neuroendocrinetumors CARCINOID Stomach neoplasms SOMATOSTATIN Immunohistochemistry Tumor markers Enterochromaffin-like cells
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Correlation between expression of gastrin, somatostatin and cell apoptosis regulation gene bcl-2/bax in large intestine carcinoma 被引量:27
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作者 Jia-DingMao PeiWu +3 位作者 Xiang-HouXia Ji-QunHu Wen-BinHuang Guo-QiangXu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第5期721-725,共5页
AIM: To explore the correlation between expression of somatostatin (SS), gastrin (GAS) and cell apoptosis regulation gene bcl-2/bax in large intestine carcinoma.METHODS: Sixty-two large intestine cancer tissue samples... AIM: To explore the correlation between expression of somatostatin (SS), gastrin (GAS) and cell apoptosis regulation gene bcl-2/bax in large intestine carcinoma.METHODS: Sixty-two large intestine cancer tissue samples were randomly and retrospectively selected from patients with large intestine carcinoma. Immunohistochemical staining for bcl-2, bax, GAS, SS was performed according to the standard streptavidin-biotin-peroxidase (S-P) method.According to the semi-quantitative integral evaluation, SS and GAS were divided into three groups as follows. Scores1-3 were defined as the low expression group, 4-8 as the intermediate expression group, 9-16 as the high expression group. Bax and bcl-2 protein expressions in different GAS and SS expression groups of large intestine carcinoma were assessed.RESULTS: The positive expression rate of bax had a prominent difference between SS and GAS high, intermediate and low expression groups (P<0.05, x2ss = 9.246; P<0.05,x2GAS = 6.981). The positive expression rate of bax in SS high (80.0%, 8/10) and intermediate (76.5%, 13/17)expression groups was higher than that in low expression group (40.0%, 14/35) (P<0.05, x2high vs low = 5.242; P<0.05,x2middle vs low = 6.097). The positive expression rate of bax in GAS high expression group (27.3%, 3/8) was lower than that in low expression group (69.4%, 25/36) (P<0.05,x2 = 4.594). However, bax expression in GAS intermediate expression group (46.7%, 7/15) was lower than that in low expression group, but not statistically significant. The positive expression rate of bcl-2 had a prominent difference between SS and GAS high, intermediate and low expression groups (P<0.05, x2ss = 7.178; P<0.05, x2GAS = 13.831). The positive expression rate of bcl-2 in GAS high (90.9%, 10/11)and intermediate (86.7%, 13/15) expression groups was higher than that in low expression group (44.4%, 16/36)(P<0.05,x2high vs low = 5.600; P<0.05, x2 middle vs low = 7.695).However, the positive expression rate of bcl-2 in SS high (40.0%, 4/10) and intermediate (47.1%, 8/9) expression groups was lower than that in low expression group (77.1%, 27/35)(P<0.05, x2 high vs low = 4.710; P<0.05, x2 middle vs low = 4.706).There was a significant positive correlation between the integral ratio of GAS to SS and the integral of bcl-2 (P<0.01,r=0.340). However, there was a negative correlation between the integral ratio of GAS to the SS and bax the integral of (P<0.05, r = -0.299).CONCLUSION: The regulation and control of gastrin,somatostatin in cell apoptosis of large intestine carcinoma may be directly related to the abnormal expression of bcl-2, bax. 展开更多
关键词 Large intestine carcinoma GASTRIN SOMATOSTATIN bcl-2 gene Bax gene APOPTOSIS
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Assay of gastrin and somatostatin in gastric antrum tissues of children with chronic gastritis and duodenal ulcer
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作者 Xiao-Zhi Xie Zhi-Guang Zhao Dan-Si Qi Zong-Min Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第14期2288-2290,共3页
AIM: To study the expressions of gastrin (GAS) and somatostatin (SS) in gastric antrum tissues of children with chronic gastritis and duodenal ulcer and their role in pathogenic mechanism. METHODS: Specimens of ... AIM: To study the expressions of gastrin (GAS) and somatostatin (SS) in gastric antrum tissues of children with chronic gastritis and duodenal ulcer and their role in pathogenic mechanism. METHODS: Specimens of gastric antrum mucosa from 83 children were retrospectively analyzed. Expressions of GAS and SS in gastric antrum tissues were assayed by the immunohistochemical Fn Vision method. RESULTS: The expressions of GAS in chronic gastritis Hp+ group (group A), chronic gastritis Hp-group (group B), the duodenal ulcer Hp+group (group C), duodenal ulcer Hp group (group D), and normal control group (group E) were 28.50+4.55, 19.60+2.49, 22.69+2.71, 25.33 + 4.76, and 18.80 + 2.36, respectively. The value in groups A-D was higher than that in group F. The difference was not statistically significant. The expressions of SS in groups A-E were 15.47+ 1.44, 17.29+ 2.04, 15.30+ 1.38, 13.11 +0.93 and 12.14+ 1.68, respectively. The value in groups A-D was higher than that in group F. The difference was also not statistically significant. CONCLUSION: The expressions of GAS and SS are increased in children with chronic gastritis and duodenal ulcer. 展开更多
关键词 Chronic gastritis Duodenal ulcer GASTRIN SOMATOSTATIN
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胃乃安胶囊联合奥美拉唑治疗十二指肠溃疡的临床研究 被引量:14
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作者 纪红竹 朱红 江力宣 《现代药物与临床》 CAS 2017年第7期1277-1280,共4页
目的探讨胃乃安胶囊联合奥美拉唑治疗十二指肠溃疡的临床疗效。方法收集2016年1月—2017年1月在中国人民解放军第一八八医院接受治疗的十二指肠溃疡患者76例,随机分为对照组(38例)和治疗组(38例)。对照组患者口服奥美拉唑肠溶胶囊,20 mg... 目的探讨胃乃安胶囊联合奥美拉唑治疗十二指肠溃疡的临床疗效。方法收集2016年1月—2017年1月在中国人民解放军第一八八医院接受治疗的十二指肠溃疡患者76例,随机分为对照组(38例)和治疗组(38例)。对照组患者口服奥美拉唑肠溶胶囊,20 mg/次,1次/d。治疗组在对照组的基础上口服胃乃安胶囊,4粒/次,3次/d。两组患者均治疗4周。评价治疗后两组患者临床疗效,比较治疗前后两组临床症状消失时间、血清细胞性因子和血清胃肠激素水平变化。结果治疗后,对照组总有效率为81.58%,显著低于治疗组的97.37%,两组比较差异具有统计学意义(P<0.05)。治疗后,治疗组溃疡痛、烧心、反酸消失时间均比对照组明显缩短,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者血清IL-8、肿瘤坏死因子-α(TNF-α)、高迁移率蛋白族1(HMGB1)水平均明显低于同组治疗前(P<0.05);且治疗组上述血清细胞性因子水平明显低于对照组(P<0.05)。治疗后,两组患者血清肾上腺髓质素(AM)、胃肠激素胃泌素(GAS)水平明显降低,降钙素基因相关肽(CGRP)和生长抑素(SS)水平明显升高,同组比较差异具有统计学意义(P<0.05);且治疗组上述血清胃肠激素指标水平明显优于对照组,两组比较差异具有统计学意义(P<0.05)。结论胃乃安胶囊联合奥美拉唑治疗十二指肠溃疡的临床效果明确,可明显降低血清炎性因子及胃肠激素水平,具有一定的临床推广应用价值。 展开更多
关键词 胃乃安胶囊 奥美拉唑肠溶胶囊 十二指肠溃疡 高迁移率蛋白族1 胃肠激素胃泌素 降钙素基因相关肽
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荆花胃康胶丸联合艾普拉唑治疗十二指肠溃疡的临床研究 被引量:12
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作者 陈博婷 崔莹雪 樊耀敏 《现代药物与临床》 CAS 2018年第11期2937-2940,共4页
目的探讨荆花胃康胶丸联合艾普拉唑肠溶片治疗十二指肠溃疡的临床疗效。方法选取2015年8月—2017年8月在西安市第九医院治疗的十二指肠溃疡患者120例,根据用药不同分为对照组(60例)和治疗组(60例)。对照组晨起口服艾普拉唑肠溶片,10 mg/... 目的探讨荆花胃康胶丸联合艾普拉唑肠溶片治疗十二指肠溃疡的临床疗效。方法选取2015年8月—2017年8月在西安市第九医院治疗的十二指肠溃疡患者120例,根据用药不同分为对照组(60例)和治疗组(60例)。对照组晨起口服艾普拉唑肠溶片,10 mg/次,1次/d;治疗组在对照组基础上口服荆花胃康胶丸,160 mg/次,3次/d。两组均经过4周治疗。观察两组患者临床疗效,同时比较治疗前后两组患者临床症状评分、促溃疡愈合因子和胃肠激素水平。结果治疗后,对照组和治疗组临床有效率分别为81.67%和96.67%,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者溃疡痛评分、腹胀评分、反酸嗳气评分均显著降低(P<0.05),且治疗组降低比对照组更明显(P<0.05)。治疗后,两组患者基质金属蛋白酶-9(MMP-9)水平显著降低(P<0.05),血管内皮生长因子(VEGF)和前列腺素E2(PGE2)水平显著升高(P<0.05),且治疗组MMP-9、VEGF和PGE2水平明显好于对照组(P<0.05)。治疗后,两组患者肾上腺髓质素(AM)和胃肠激素胃泌素(GAS)水平均显著降低(P<0.05),生长抑素(SS)和降钙素基因相关肽水平(CGRP)水平均显著升高(P<0.05),且治疗组AM、GAS、CGRP和SS水平明显好于对照组(P<0.05)。结论荆花胃康胶丸联合艾普拉唑肠溶片治疗十二指肠溃疡可有效改善患者临床症状和胃肠激素水平,促进溃疡愈合,具有一定的临床推广应用价值。 展开更多
关键词 艾普拉唑肠溶片 十荆花胃康胶丸 二指肠溃疡 临床症状评分 血管内皮生长因子 胃肠激素胃泌素 胃肠激素
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