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慢传输型便秘和排便障碍型便秘患者肠道菌群结构分析 被引量:6
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作者 韩旭 许晨 +3 位作者 卫璐戈 庄朋伟 李玉玮 张艳军 《胃肠病学》 北大核心 2021年第12期724-731,共8页
背景:功能性便秘(FC)是一种临床常见的胃肠道疾病,高发病率不仅影响患者的生命质量,还为医疗保健系统带来极大挑战。研究发现肠道菌群失调与便秘的发生、发展存在显著关联。目的:探讨慢传输型便秘(STC)患者和排便障碍型便秘(FDD)患者肠... 背景:功能性便秘(FC)是一种临床常见的胃肠道疾病,高发病率不仅影响患者的生命质量,还为医疗保健系统带来极大挑战。研究发现肠道菌群失调与便秘的发生、发展存在显著关联。目的:探讨慢传输型便秘(STC)患者和排便障碍型便秘(FDD)患者肠道菌群结构的组成和多样性。方法:选取2020年6月—2021年1月就诊于天津市人民医院的62例STC患者、87例FDD患者,以同期36名健康人作为对照(NC组)。采集所有受试者的粪便样本,以16S rRNA高通量测序技术分析肠道菌群结构。结果:Alpha多样性分析结果显示STC组、FDD组和NC组Chao、Ace、Shannon、Simpson指数无明显差异(P>0.05)。Beta多样性分析显示三组间肠道菌群结构存在显著差异(P=0.001)。物种差异分析结果显示,在门水平上,与NC组相比,STC组厚壁菌门丰度显著降低(P<0.001),拟杆菌门丰度显著升高(P<0.001),FDD组变形菌门丰度显著降低(P<0.05);与STC组相比,FDD组厚壁菌门和放线菌门丰度显著升高(P<0.001),拟杆菌门丰度显著降低(P<0.001)。在科水平上,与NC组相比,STC组、FDD组肠杆菌科丰度显著降低(P<0.05),STC组普雷沃菌科和拟杆菌科丰度显著升高(P<0.001),毛螺菌科丰度显著降低(P<0.001);与STC组相比,FDD组普雷沃菌科、拟杆菌科丰度显著降低(P<0.001),双歧杆菌科、毛螺菌科丰度显著升高(P<0.001)。在属水平上,STC组普雷沃菌属和拟杆菌属丰度显著高于FDD组和NC组(P<0.01,P<0.001),而双歧杆菌属和布劳特菌属丰度显著降低(P<0.05,P<0.001);与NC组相比,FDD组大肠埃希菌-志贺菌属和Dorea菌属丰度均显著降低(P<0.05)。结论:FDD患者菌群与正常人群构成基本相似,而STC患者存在厚壁菌门及其所属各级菌群丰度降低、拟杆菌门及其所属各级菌群丰度升高等菌群失调的现象。 展开更多
关键词 功能性便秘 肠道菌群 多样性 16S rRNA
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Development and evaluation of Panax notoginseng saponins contained in an in situ pHtriggered gelling system for sustained ocular posterior segment drug delivery 被引量:2
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作者 Peng Lu Renxing Wang +10 位作者 Yue Xing Yanquan Gao Qingqing Zhang Bin Xing Ying Zhang Changxiang Yu Xinfu Cai Qiang Shang Dereje Kebebe Jiaxin Pi Zhidong Liu 《Acupuncture and Herbal Medicine》 2021年第2期107-121,共15页
Objective:This study aimed to lay the foundation for the research on Panax notoginseng saponins(PNS)in pH-sensitive in situ gel and the development and improvement of related preparations.Methods:We used Carbopol■940... Objective:This study aimed to lay the foundation for the research on Panax notoginseng saponins(PNS)in pH-sensitive in situ gel and the development and improvement of related preparations.Methods:We used Carbopol■940,a commonly used pH-sensitive polymer,and the thickener hydroxypropyl methylcellulose(HPMC E4M)as an ophthalmic gel matrix to prepare an ophthalmic in situ gel of PNS.In addition,formula optimization was performed by assessing gelling capability with the results of in vitro release studies.In vitro(corneal permeation,rheological,and stability)and in vivo(ocular irritation and preliminary pharmacokinetics in the vitreous)studies were also performed.Results:The results demonstrated that the in situ gelling systems containing PNS showed a sustained release of the drug,making it an ideal ocular delivery system for improving posterior ocular bioavailability.Conclusions:This study lays the foundation for the research of PNS contained in an in situ pH-triggered gel as well as the development and improvement of related preparations.It concurrently traditional Chinese medicine with a contemporary in situ gelling approach to provide new directions for the treatment of posterior ocular diseases such as diabetic retinopathy. 展开更多
关键词 Carbopol■940 Hydroxypropyl methylcellulose Panax notoginseng saponins pH-triggered gelling system Sustained release drug delivery
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