生理盐水肠道冲洗辅助治疗真菌性肠炎效果观察

目的 探讨生理盐水肠道冲洗辅助治疗真菌性肠炎的疗效。方法 将72例真菌性肠炎患者随机分为观察组和对照组各36例，对照组行常规治疗，观察组在此基础上予以温生理盐水（38～41℃）500～7000ml持续肠道冲洗，3～6h／次，1次／d，治疗1～3次。结果 观察组治疗后肠道pH值显著低于治疗前及对照组治疗后（均P〈0．01），治愈率显著高于对照组（P〈0．01）。结论 对真菌性肠炎腹泻患者在常规治疗的基础上，辅以温生理盐水肠道冲洗可显著改善肠道环境，提高治愈率。     

腹泻灵外敷治疗急性肠炎的临床观察和实验研究

以丁香、肉桂、细辛等组成的腹泻灵外敷脐部(神阙穴)治疗急性肠炎106例,痊愈率为91.5%。并随机设立痢特灵、庆大霉素、山莨菪碱西药对照组100例,痊愈率为88%。两组相比,腹泻灵组对各项观察指标的改善情况均明显优于西药组(p<0.01)。动物实验证明,腹泻灵内用无急性毒性反应及过敏反应,长期外用无蓄积性毒性作用,对球结膜与完好皮肤及破损皮肤均无刺激作用。     

HM增菌液对沙门氏菌属与志贺氏菌属增菌效果的观察

报道HM增菌液对150例临床诊断为肠炎患者大便标本的增菌效果,并与革兰氏阴性杆菌增菌培养液(GN增菌液)和亚硒酸钠增菌液(SF增菌液)进行对比观察。结果显示HM增菌液对沙门氏菌属与志贺氏菌属增菌效果均较好,检出率明显高于GN和SF增萌液(p<0.01和p<0.05),有较好的实用价值。     

止泻颗粒剂治疗小儿消化不良性肠炎136例

运用止泻颗粒剂与思密达作对照治疗小儿消化不良性肠炎,治疗组136例,对照组80例,2组总有效率分别为95．5％,37．5％,疗效比较具有显著性差异,P＜0．01。     

推拿治疗婴幼儿轮状病毒性肠炎42例

目的 :观察推拿在治疗婴儿轮状病毒性肠炎中的疗效。方法 :将72例确诊患儿随机分为二组 ,两组患儿一般治疗相同 ,治疗组加推拿疗法。结果 :治疗组症状消失时间明显缩短 ,止泻时间治疗组为(38 5±15 5)h ,对照组(50 2±18 5)h ,差异有显著性意义(P<0 01)。治疗组总有效率为95% ,对照组为80 %(P<0 05)。结论 :推拿治疗婴儿轮状病毒性肠炎安全、有效、简便、价廉     

思密达治疗小儿轮状病毒肠炎临床观察

目的　为了研究思密达治疗小儿轮状病毒肠炎的效果。 方法　 我们于 2 0 0 1年 5月～ 2 0 0 2年 3月在儿科门诊及住院病人中选择了 14 5例 ,随机分为治疗组和对照组 ,6天总有效率分别为 98%和 90 % ,有显著性差异 (P <0 0 5 )。治疗组平均恢复时间为 3d ,对照组为 4d(P <0 0 1) ,同时在主要观察指标治疗组均明显优于对照组 ,两者差异有显著性 (P <0 0 5 )。 结果　提示口服思密达治疗小儿轮状病毒肠炎与对照组疗效相比 ,差异有显著性。 结论　 思密达治疗小儿轮状病毒性肠炎能缩短病程安全有效。     

中西医结合治疗溃疡性结肠炎经验

溃疡性结肠炎(UlcerativeColitis UC)又称非特异性结肠炎,是一种病因尚不十分清楚的直肠和结肠慢性非特异性炎症性疾病.其病变主要限于大肠粘膜和粘膜下层,临床表现为腹泻、黏液脓血便、腹痛等,是临床常见的疑难杂症之一.笔者从2003年3月～2005年6月应用四神丸治疗该病48例,效果满意.     

Gastrointestinal radiation injury:Symptoms,risk factors and mechanisms

Ionising radiation therapy is a common treatment modality for different types of cancer and its use is expected to increase with advances in screening and early detection of cancer.Radiation injury to the gastrointestinal tract is important factor working against better utility of this important therapeutic modality.Cancer survivors can suffer a wide variety of acute and chronic symptoms following radiotherapy,which significantly reduces their quality of life as well as adding an extra burden to the cost of health care.The accurate diagnosis and treatment of intestinal radiation injury often represents a clinical challenge to practicing physicians in both gastroenterology and oncology.Despite the growing recognition of the problem and some advances in understanding the cellular and molecular mechanisms of radiation injury,relatively little is known about the pathophysiology of gastrointestinal radiation injury or any possible susceptibility factors that could aggravate its severity.The aims of this review are to examine the various clinical manifestations of post-radiation gastrointestinal symptoms,to discuss possible patient and treatment factors implicated in normal gastrointestinal tissue radiosensitivity and to outline different mechanisms of intestinal tissue injury.     

Infliximab induces remission in cryptogenic multifocal ulcerous stenosing enteritis:First case

We present the case of a 29-year-old patient with a history of abdominal pain and vomiting.Based on wireless video capsule findings he was previously diagnosed with ileal Crohn’s disease at a different institution,although the clinical and radiological picture was not typical and the response to corticosteroids was poor.We performed a single-balloon enteroscopy showing a short,ulcerous stenosis 50 cm proximal from Bauhin’s valve.The endoscopic and clinical histopathological findings were compatible with cryptogenic multifocal ulcerous stenosing enteritis(CMUSE).High dose corticosteroids were again started,without effect.The monoclonal tumor necrosis factor-α(TNF-α) antibody infliximab was added to the medical therapy.After induction therapy,both clinical and endoscopic amelioration was obtained.Larger case studies are needed to confirm the efficacy of TNF-α inhibition in steroid refractory CMUSE.     

A chicken intestinal ligated loop model to study the virulence of Clostridium perfringens isolates recovered from antibiotic-free chicken flocks

Necrotic enteritis (NE) is a major problem in antibiotic-free (ABF) chicken flocks and specific strains of Clostridium perfringens are known to induce NE. The objective of this study was to develop a chicken intestinal ligated loop model in order to compare the virulence of various C. perfringens strains recovered from consecutive ABF flocks with and without NE. Intestinal loops were surgically prepared in 10 anaesthetized specific-pathogen-free chickens and alternately inoculated with C. perfringens isolates or brain heart infusion (BHI) media. Histological lesion scoring was performed for each loop. All strains from NE-affected flocks induced histological lesions compatible with NE whereas inoculation of loops with a commensal C. perfringens strain or BHI did not. Among inoculated strains, CP0994 (netB-positive and cpb2-positive) and CP-2003-1256 (netB-positive) demonstrated mean histological lesion scores significantly higher (P?netB-negative and cpb2-positive) induced intestinal lesions without significantly higher scores. In loops where villi were colonized by Gram-positive rods, significantly higher (P?C. perfringens is a critical step in the pathogenesis of NE. Finally, we demonstrated the importance of controlling virulent C. perfringens strains in ABF chicken flocks as a highly virulent strain can be present in consecutive flocks with NE and possibly affect multiple flocks.