首页|双歧杆菌四联活菌胶囊联合胰酶肠溶胶囊在中重度非酒精性脂肪性肝病肠功能紊乱患者中的效果评价

双歧杆菌四联活菌胶囊联合胰酶肠溶胶囊在中重度非酒精性脂肪性肝病肠功能紊乱患者中的效果评价

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目的:研究双歧杆菌四联活菌胶囊联合胰酶肠溶胶囊治疗中重度非酒精性脂肪性肝病(Nonalcoholic fatty liver disease,NAFLD)肠功能紊乱患者的效果.方法:选取2021年 1月至 2023年 6 月我院收治的 154 例中重度NAFLD肠功能紊乱患者作为研究对象,采用随机数字表法分为对照组和联合组,各 77 例.对照组采用胰酶肠溶胶囊治疗,联合组在对照组的基础上增加采用双歧杆菌四联活菌胶囊治疗.比较两组临床疗效、肠道症状缓解时间、肝功能及脂代谢指标、肠道菌群(双歧杆菌、乳杆菌、埃希菌、肠球菌)、脂质过氧化指标.结果:联合组临床总有效率明显高于对照组(P<0.05);治疗后,联合组肠鸣、里急后重、腹胀、肛门排气、腹泻、大便黏液、腹痛等症状缓解时间明显短于对照组(P<0.05);联合组总胆固醇(Total cholesterol,TC)、谷草转氨酶(Glutamic oxaloacetic transaminase,GOT)、甘油三酯(Triglyceride,TG)、谷丙转氨酶(Alanine transaminase,ALT)水平明显低于对照组(P<0.05);联合组埃希菌、肠球菌水平明显降低,双歧杆菌、乳杆菌水平明显高于对照组(P<0.05);联合组丙二醛(Malonic dialdehyde,MDA)水平明显低于对照组,超氧化物歧化酶(Superoxide dismutase,SOD)、总谷胱甘肽(Total Glutathione Assay Kit,T-GSH)水平明显高于对照组(P<0.05).结论:双歧杆菌四联活菌胶囊联合胰酶肠溶胶囊治疗中重度NAFLD肠功能紊乱效果显著,可缓解患者症状,抑制脂质过氧化反应,维持肠道正常微生态环境,促进肠道功能恢复,增强肝功能.
Efficacy evaluation of bifidobacterium tetrad live capsule combined with pancreatic enzyme enteric-coated capsule in patients with intestinal dysfunction of moderate to severe non-alcoholic fatty liver disease
Objective:To study the effect of bifidobacterium tetrad live capsule combined with pancreatic enzyme enteric capsule in the treatment of moderate to severe non-alcoholic fatty liver disease(NAFLD)patients with intestinal dysfunction.Methods:One hundred and fifty-four patients with moderate to severe NAFLD intestinal dysfunction admitted to our hospital from January 2021 to June 2023 were selected as the study subjects.They were randomly divided into a control group and a combination group using a random number table method,with 77 patients in each group.The control group was treated with pancreatin enteric coated capsules,and on the basis of the control group,the combination group was treated with Bifidobacterium quadruplex viable capsules.Compare the clinical efficacy,intestinal symptom relief time,liver function and lipid metabolism indicators,intestinal microbiota(Bifidobacterium,Lactobacillus,Escherichia coli,Enterococcus),and lipid peroxidation indicators between the two groups.Results:The total clinical effective rate of the combined group is significantly higher than that of the control group(P<0.05).After treatment,the relief time of symptoms such as bowel ringing,urgency,abdominal distension,anal discharge,diarrhea,fecal mucus,and abdominal pain in the combination group was significantly shorter than that in the control group(P<0.05).The levels of total cholesterol(TC),glutamic oxaloacetic transaminase(GOT),triglycerides(TG),and alanine transaminase(ALT)in the combination group were significantly lower than those in the control group(P<0.05).The levels of Escherichia coli and Enterococcus in the combined group were significantly reduced,while the levels of Bifidobacterium and Lactobacillus were significantly higher than those in the control group(P<0.05).The levels of malondialdehyde(MDA)in the combination group were significantly lower than those in the control group,while the levels of superoxide dismutase(SOD)and total glutathione(T-GSH)were significantly higher than those in the control group(P<0.05).Conclusion:Bifidobacterium tetrad live capsule combined with pancreatic enzyme enteric-coated capsule has significant effect in the treatment of intestinal dysfunction of moderate and severe NAFLD,which can alleviate symptoms,inhibit lipid peroxidation,maintain normal intestinal microecological environment,promote intestinal function recovery and enhance liver function.

NAFLDBifidobacteriumQuadruple Viable CapsulePancreatic enzyme enteric-coated capsuleIntestinal function

田金亚、段小凯、樊实真

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郑州市第一人民医院全科医学科,河南 郑州 450000

NAFLD 双歧杆菌 四联活菌胶囊 胰酶肠溶胶囊 肠功能

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(4)
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