首页|双歧杆菌四联活菌片联合蒙脱石散对腹泻患儿肠黏膜屏障及血清炎性因子水平的影响

双歧杆菌四联活菌片联合蒙脱石散对腹泻患儿肠黏膜屏障及血清炎性因子水平的影响

扫码查看
目的:研究双歧杆菌四联活菌片+蒙脱石散对腹泻患儿肠黏膜屏障及血清炎性因子水平的影响.方法:随机数字表法将该院(2022 年 3 月至 2023 年 3 月)确诊的 204 例腹泻患儿分为研究组、参照组,各 102 例.参照组行蒙脱石散治疗,研究组在其基础上行双歧杆菌四联活菌片治疗.比较两组临床疗效、肠黏膜屏障功能指标、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、血管活性肠肽(Vasoactive intestinal polypeptide,VIP)、C反应蛋白(C-reactive protein,CRP)、胃动素(Motilin,MTL)、白细胞介素-10(Interleukin-10,IL-10)、生长抑素(Somatostatin,SS)、γ干扰素(Interferon-γ,IFN-γ)、不良反应发生率.结果:研究组总有效率高于参照组(P<0.05);治疗后研究组D-乳酸、二胺氧化酶、内毒素水平低于参照组(P<0.05);治疗后研究组IL-10、IFN-γ高于参照组,MTL、VIP、SS、TNF-α、CRP低于参照组(P<0.05);治疗后研究组不良反应总发生率与参照组相比,差异无统计学意义(P>0.05).结论:联合治疗方案疗效显著,可有效改善患儿肠道黏膜,减少炎症反应,且不良反应少,安全性高.
Effects of Bifidobacterium tetrad viable tablets combined with montmorillonite powder on intestinal mucosal barrier and serum inflammatory factors in children with diarrhea
Objective:To study the effects of bifidobacterium tetrad viable tablets plus montmorillonite powder on intestinal mucosal barrier and serum inflammatory factors in children with diarrhea.Methods:204 children with diarrhea diagnosed in our hospital(March 2022 to March 2023)were divided into study group and reference group with 102 cases each.The reference group was treated with montmorillonite powder,and the study group was treated with bifidobacterium tetrad viable tablets on the basis of Montmorillonite.Comparing the clinical efficacy,intestinal mucosal barrier function indexes,tumor necrosis factor-α(TNF-α),vasoactive intestinal polypeptide(VIP),C-reactive protein(CRP),motilin(MTL),interleukin-10(IL-10),somatostatin(SS),interferon-γ(IFN-γ)and incidence of adverse reactions between the two groups.Results:The total effective rate of the study group was higher than that of the reference group(P<0.05).After treatment,the levels of D-lactic acid,diamine oxidase and endotoxin in the study group were lower than those in the control group(P<0.05);After treatment,IL-10 and IFN-γ in the study group were higher than those in the reference group,while MTL,VIP,SS,TNF-α and CRP were lower than those in the reference group(P<0.05).After treatment,there was no significant difference in the total incidence of adverse reactions between the study group and the reference group(P>0.05).Conclusion:The combined treatment is effective,can effectively improve the intestinal mucosa of children,reduce inflammation,and less adverse reactions,high safety.

Bifidobacterium tetrad viable tabletMontmorillonite powderChildren with diarrheaCurative effect

张云云、马威、郑海霞

展开 >

信阳职业技术学院附属医院儿科,河南 信阳 4640001

郑州大学第一附属医院PICU,河南 郑州4500002

郑州大学第一附属医院/新生儿科,河南 郑州 4500003

双歧杆菌四联活菌片 蒙脱石散 腹泻患儿 疗效

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)
  • 15