复方谷氨酰胺联合益生菌对活动期溃疡性结肠炎肠道屏障功能及细胞因子的影响

Influence of compound glutamine combined with probiotics on intestinal barrier function and cytokine in patients with ulcerative colitis

  • 摘要: 目的:探讨复方谷氨酰胺与枯草杆菌二联活菌联合治疗活动期溃疡性结肠炎对患者肠道功能以及细胞因子的影响。方法66例溃疡性结肠炎患者随机分为观察组(n =33)与对照组(n =33),对照组给予美沙拉嗪治疗,观察组在对照组基础上加用枯草杆菌二联活菌与复方谷氨酰胺治疗,对比2组患者临床效果、肠道屏障功能(采用糖分子探针乳果糖/甘露醇比值,即 L /M 比值)以及细胞因子(IL-8及 TNF-α)的变化。结果观察组总有效率及结肠镜检查缓解率均为100.0%,显著高于对照组的81.8%及84.8%(P <0.05);2组患者 IL-8及 TNF-α均较前显著减低(P <0.01),且治疗后观察组均显著低于对照组(P <0.01);观察组患者 L /M 治疗后显著减低(P <0.01),对照组未见明显变化(P >0.05),治疗后观察组显著低于对照组(P <0.01)。结论传统治疗基础上联合益生菌与复方谷氨酰胺在 UC 治疗中具有确切的疗效,同时对于肠道屏障功能的恢复及细胞因子的降低也具有重要意义。

     

    Abstract: Objective To explore the influence of compound glutamine combined with pro-biotics on intestinal barrier function and cytokine in patients with ulcerative colitis (UC).Methods 66 patients with UC were randomly divided into the control group (n =33)and the observation group (n =33).The control group was treated with mesalazine,while the observation group was treated with compound and probiotics on the basis of control group.Clinical efficacy,intestinal bar-rier function and cytokine were compared between the two groups.Results The total effective rate and colonoscopy remission rate of the observation group were 100.0%,which were significantly higher than 81.8% and 84.8% of the control group (P <0.05).After the treatment,IL-8 and TNF-αwere significantly lower than those before treatment (P <0.01),and the indexes of the observation group were significantly lower than the control group (P <0.01).L /M in the observa-tion group was significantly lower than that before treatment and the control group (P <0.01),but there was no significant difference in the control group (P >0.05).Conclusion Compound glu-tamine combined with probiotics based on the traditional treatment shows significant effects in treat-ment of patients with UC,and it also has an important significance in the recovery of intestinal bar-rier function and reduction of cytokine.

     

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