芪倍合剂对溃疡性结肠炎大鼠白细胞介素-8、肿瘤坏死因子-α的影响

[目的]建立溃疡性结肠炎（UC）大鼠模型,研究芪倍合剂对大鼠溃疡性结肠炎（UC）的治疗作用及对肿瘤坏死因子-α（TNF-α）、白细胞介素8（IL-8）产生和表达的影响。[方法]用三硝基苯磺酸（TNBS）法制备大鼠UC模型,采用酶联免疫吸附（ELISA）方法测定大鼠血清中TNFα、IL-8水平。[结果]芪倍合剂组和柳氮磺胺吡啶组TNF-α、IL-8明显低于模型组,有统计学意义（P〈0．01）。[结论]芪倍合剂可显著降低UC大鼠血清TNF-α、IL-8的水平,有治疗UC的前景。     

Dalitong Granule(达立通颗粒)Combined with Electroacupuncture in the Treatment of Functional Dyspepsia:A Randomized Controlled Trial

Objective:To explore clinical short and long-term effect of combining Dalitong Granule(达立通颗料,DG) and electroacupuncture group(EA) in the treatment of functional dyspepsia.Methods:Totally 640 patients with confirmed functional dyspepsia were randomly divided into 4 groups using a randomized digital table:the DG group,the EA group,the combined group and the control group,160 cases in each group.The DG group was treated with 6 g DG 3 times daily;the EA group was treated with puncture of points Zusanli(ST36),Zhongwan(CV12),Neiguan(PC6),Taichong(LR3) and Gongsun(SP4) twice daily;the combined group with above-mentioned DG and EA;and the control group with 5 mg mosapride 3 times,20 mg pantoprazole and25 mg amitriptylines twice daily.The treatment course was 4 weeks for all groups.The symptom score,quality of life score by Short Form 36 Health Survey Questionnaires(SF-36),plasma motilin by radioimmunoassay,electrogastrographic frequencies by electrogastrogram(EGG) and gastric emptying by B-sonography were examined,and adverse reactions were observed before,at the end of treatment and 60 weeks post-treatment.Results:In the DG group 1 case dropped out for not taking medicine strictly and 1 case was lost to follow-up,while 1 case in the EA group and 2 cases in the combined therapy group were lost to follow-up.Compared with pre-treatment,quality of life score,plasma motilin,electrogastrographic frequencies and gastric emptying were all increased significantly,while symptom score was decreased significantly at the end of treatment in each group(P0.01);in the combined group quality of life score,plasma motilin,electrogastrographic frequencies and gastric emptying were all significantly higher than those in the other groups,while symptom score was significantly lower than in the other groups(P0.05).Compared with at the end of treatment,these indices changed insignificantly in the combined group and the EA group 60 weeks post-treatment(P0.05),but the 4increased indices were all decreased significantly,and symptom score was increased significantly in the DG and the control groups(P0.05).The short and long-term total effective rates in the combined group were all significantly higher than those in the other treatment groups(P0.05 or P0.01).No serious adverse reaction occurred in the four groups.Conclusion:Combined treatment of DG and EA could increase both plasma motilin and electrogastrographic frequencies,promote gastric emptying,alleviate the symptom of dyspepsia so as to increase quality of life,with better safety and long-term effect.     

念珠菌性食管炎76例临床分析

白色念珠菌是口腔中正常菌种,其生长受其他共生菌的制约.近年念珠菌性食管炎检出率较高,一般认为多在应用抗生素、激素状况下以及恶性肿瘤状况下发生.本文对我院2005年3月至2007年3月胃镜检查诊断的念珠菌性食管炎进行内镜及临床分析,现报道如下.     

胃癌患者血清血管内皮生长因子和转化生长因子β1表达的关系及其临床意义

目的探讨胃癌患者血清血管内皮生长因子（VEGF）和转化生长因子β1（TGF—β1）的表达及二者联合检测的临床意义。方法采用酶联免疫吸附试验法（ELISA）定量检测84例胃癌患者和40例健康人血清VEGF和TGF—β1水平,并分析其与临床病理因素之间的关系。结果胃癌患者血清VEGF和TGF—β1水平明显高于健康人血清水平[（392．33±118．54）pg／mlVS（139．64±72．31）pg／ml,t=12．4098,P〈0．01;（692．8±14.5）mg／LVS（62．3±6.5）mg／L,t=262．3721,P〈0．01],其水平与浸润深度、分化程度、有无转移、TNM分期有关（P〈0．01）,与性别、年龄、肿瘤大小无统计学意义（P〉0．05）,胃癌患者血清VEGF与TGF-β1水平呈显著正相关（r=0．475,P〈0．01）。结论血清VEGF和TGF-β1。水平与胃癌蛳曼润、转移密切相关,术前检测血清VEGF、TGF—β1水平对预测胃癌的侵袭和转移具有重要的临床意义。     

电针联合芪倍合剂治疗腹泻型肠易激综合征腹泻型的随机对照研究（英文）

目的:旨在探讨电针联合芪倍合剂治疗IBSD的短期和远期疗效。方法:2012年7月至2016年6月新乡医学院第一附属医院消化科门诊和住院的644例确诊为肠易激综合征的病人,采用随机方法分为4组:电针组、芪倍合剂组、联合治疗组及西药组,每组161例。电针组针刺足三里、肝俞、脾俞、太冲及脐中四边穴,每日1次,共4周;芪倍合剂组予芪倍合剂50 mL口服,每日2次;联合治疗组则予上述电针针刺及芪倍合剂治疗;西药组口服复方地芬诺酯1片,每日2次,蒙脱石散3 g,每日3次,阿米替林25 mg,每日两次。评价4组患者治疗前、治疗结束时及治疗结束后60周排便次数、大便性状、伴随症状评分、生活质量评分及不良反应。结果:与治疗前比较,治疗结束时各组排便次数、大便性状和伴随症状评分均明显下降(P0.01),生活质量评分明显上升(P0.01),联合治疗组上述指标优于其他组(均P0.05)。与治疗结束时比较,治疗后6周上述指标在电针组和联合治疗组无明显反复(P0.05),在芪倍合剂组和对照组则明显反复(均P0.05),联合治疗组短期和远期总有效率均显著高于其他组的总有效率(P0.05,P0.01),各组均无严重不良反应发生。结论:电针和芪倍合剂均能显著减少IBSD患者排便次数,改善大便性状,缓解伴随症状,提高生活质量,但联合使用效果更好,并具有较好的安全性和近远期疗效。     

复方甘草酸苷注射液治疗溃疡性结肠炎疗效观察

目的 :观察复方甘草酸苷治疗溃疡性结肠炎的疗效。方法 :165例溃疡性结肠炎患者随机分为治疗组和对照组 ,分别给予复方甘草酸苷和柳氮磺胺吡啶治疗 ,比较两组的临床疗效。结果 :总有效率治疗组为92 38 % ,对照组为65 % (P<0 05) ;临床治愈率治疗组为63 80 % ,对照组为13 33 % (P<0 01)。结论:复方甘草酸苷治疗溃疡性结肠炎疗效显著     

经内镜栓塞治疗胃底静脉曲张破裂出血150例

目的　探讨经内镜栓塞治疗胃底静脉曲张破裂出血的疗效。方法　对 1 5 0例胃底静脉曲张破裂患者 ,经内镜工作通道置入栓塞注射针 ,向曲张静脉内注入组织粘合剂 ,使血液与组织粘合剂接触而迅速发生聚合、硬化 ,堵塞出血的曲张静脉而止血。结果　 1 5 0例均 1次成功止血 ,均未发生中毒反应、大出血、食管狭窄等并发症 ,随访 5个月 ,仅 3例 (2 %)再出血。结论　栓塞治疗胃底静脉曲张破裂出血疗效好 ,组织毒性小 ,副作用少 ,并发症发生率低。     

饮酒和CYP1A1-MspI、ALDH-2基因多态性与食管癌的相关性

目的 探讨饮酒和细胞色素P4501A1-MspI (CYP1A1-MspI)、乙醛脱氢酶-2(ALDH-2)基因多态性与食管癌发病之间的关系.方法 采用病例-对照研究的方法,以160例食管癌患者及160例非癌对照者的外周血白细胞为样本,利用聚合酶链反应(PCR)技术分析了CYP1A1-MspI和ALDH-2基因多态性.结果 CYP1A1-MspI突变纯合型(m2/m2)和ALDH-2变异基因型频率分布分别为39.375%、70.625%(病例组)和20.000%、43.750% (对照组),二者差异显著(P<0.01,P<0.01).CYP1A1-MspI(m2/m2)患食管癌的风险显著增加(OR=2.598,95% CI=1.819~4.265).ALDH-2变异基因型者患食管癌的风险也显著增加(OR=3.091,95% CI=1.922~4.738).基因突变的协同分析发现CYP1A1-MspI(m2/m2)/ALDH-2变异基因型者在食管癌组和对照组中的分布频率分别为31.875%和6.250%,二者有显著差异(P<0.01).CYP1A1-MspI(m2/m2)/ALDH-2变异基因型者患食管癌的风险显著增加(OR=9.909,95% CI= 3.574~12.532).病例组的饮酒率显著高于对照组的饮酒率(OR=3.096,95% CI=1.532~4.88 0,P<0.01),CYP1A1-MspI (m2/m2)/及ALDH-2变异基因型与饮酒有协同作用(OR=40.727,95% CI=17.965~66.572).结论 CYP1A1-MspI(m2/m2)/ALDH-2变异基因型和饮酒是食管癌的易患因素,三者的联合在食管癌的发生中起着协同的作用.     

Clinical study on the treatment of gastroesophageal reflux by acupuncture

##正##Objective:To explore the clinical efficacy and safety of acupuncture in treating gastroesophageal reflux(GER).Methods:Sixty patients with confirmed diagnosis of GER were randomly assigned to two groups.The 30 patients in the treatment group were treated with acupuncture at acupoints Zhongwan(CV 12),bilateral Zusanli(ST36),Sanyinjiao(SP6),and Neiguan(PC6),once a day,for 1 week as a therapeutic course,with interval of 2-3 days between courses;the 30 patients in the control group were administered orally with omeprazole 20 mg twice a day and 20 mg mosapride thrice a day.The treatment in both group lasted 6 weeks.Patients' symptoms and times of reflux attacking were recorded,the 24-h intraesophageal acid/bile reflux were monitored,and the endoscopic feature of esophageal mucous membrane was graded and scored at three time points,i.e.,pre-treatment(T0),immediately after ending the treatment course(T1)and 4 weeks after it(T2).Besides,the adverse reactions were also observed.Results:Compared with those detected at T0, 24-h intraesophageal pH and bile reflux,endoscopic grading score and symptom score were all decreased significantly at T1 in both groups similarly(P0.01),showing insignificant difference between groups(P0.05). These indices were reversed at T2 to high level in the control group(P0.05),but the reversion did not occur in the treatment group(P0.05).No serious adverse reaction was found during the therapeutic period.Conclusion: Acupuncture can effectively inhibit the intraesophageal acid and bile reflux in GER patients to alleviate patients' symptoms with good safety and is well accepted by patients.     

抵抗素基因启动子-420C/G、细胞色素P4501A1-MspI多态性与吸烟的交互作用对非酒精性脂肪性肝病的影响

目的:探讨抵抗素基因启动子-420C/G、细胞色素P4501A1-Msp I(CYP1A1-Msp I)基因多态性与吸烟的交互作用与非酒精性脂肪性肝病(NAFLD)的关系。方法:采用病例-对照研究的方法,以1 200例NAFLD患者及1 200例健康对照者的外周血白细胞为样本,利用聚合酶链反应(polymerase chain reaction,PCR)技术分析了抵抗素基因启动子-420C/G和CYP1A1-Msp I基因多态性。结果:-420C/G(GG)基因型和CYP1A1-Msp I(m2/m2)基因型频率分布分别为49.75%、50.08%(病例组)和24.00%、24.25%(对照组),两者经χ2检验差异显著(P0.01)。-420C/G(GG)基因型者患NAFLD的风险显著增加。CYP1A1-Msp I(m2/m2)基因型者患NAFLD的风险也显著增加。基因突变的协同分析发现-420C/G(GG)/CYP1A1-Msp I(m2/m2)基因型者在NAFLD组和对照组中的分布频率分别为39.83%和12.83%,两者经χ2检验有显著差异(P0.01)。-420C/G(GG)/CYP1A1-Msp I(m2/m2)基因型者患NAFLD的风险显著增加。病例组的吸烟率显著高于对照组的吸烟率(P0.01),吸烟与-420C/G(GG)和CYP1A1-Msp I(m2/m2)基因型均有交互作用。结论:-420C/G(GG)、CYP1A1-Msp I(m2/m2)基因型和吸烟是NAFLD的易患因素,基因多态性与吸烟的交互作用增加了NAFLD的发病风险。