首页|半夏泻心汤对Hp阳性慢性萎缩性胃炎患者MAPK/ERK信号通路的影响

半夏泻心汤对Hp阳性慢性萎缩性胃炎患者MAPK/ERK信号通路的影响

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目的:观察半夏泻心汤对幽门螺杆菌(Hp)阳性慢性萎缩性胃炎(CAG)患者丝裂原活化蛋白激酶(MAPK)/细胞外信号调节激酶(ERK)信号通路的影响.方法:将96例Hp阳性CAG患者随机分为对照组(常规四联治疗,48例)和观察组(半夏泻心汤联合常规四联治疗,48例).对比两组疗效、Hp根除率、中医证候积分、胃蛋白酶原(PG)和MAPK/ERK信号通路相关指标.结果:观察组的临床总有效率、Hp根除率高于对照组(P<0.05).治疗后,相较于对照组,观察组主症、次症、总分、PGⅡ、MEK1信使核糖核酸(mRNA)、MEK2mRNA、ERK1mRNA、ERK2mRNA表达更低,PG Ⅰ更高(P<0.05).结论:半夏泻心汤治疗Hp阳性CAG患者,可提高临床治疗效果,改善临床症状和PG水平,调节外周血MAPK/ERK信号通路.
Effect of Banxia Xiexin Decoction on MAPK/ERK Signaling Pathway in Patients with Hp Positive Chronic Atrophic Gastritis
Objective:To observe the effect of banxia xiexin decoction on mitogen-activated protein kinase(MAPK)/extracellular signal-regulated kinase(ERK)signaling pathway in patients with Helicobacter pylori(Hp)positive chronic atrophic gastritis(CAG).Methods:96 Hp positive CAG patients were randomly divided into control group(treated with conventional quadruple therapy,48 cases)and observation group(treated with banxia xiexin decoction combined with conventional quadruple,48 cases).The efficacy,Hp eradica-tion rate,traditional chinese medicine syndrome points,pepsinogen(PG)and MAPK/ERK signaling pathway related indicators were compared between two groups.Results:The total clinical effective rate and Hp eradication rate in observation group were higher than that of the control group,respectively(P<0.05).After treatment,compared with control group,the main symptoms,secondary symptoms,total scores,PGⅡ,the expression of MEK1 messenger ribonucleic acid(mRNA),MEK2 mRNA,ERK1 mRNA,and ERK2 mRNA in observation group were lower,and PGI was higher(P<0.05).Conclusion:Banxia xiexin decoction in the treatment of Hp positive CAG patients,which can improve the clinical treatment effect,improve the clinical symptoms and PG level,and regulate the MAPK/ERK sig-naling pathway in peripheral blood.

Chronic atrophic gastritisBanxia xiexin decoctionHp positiveMAPK/ERK signaling pathway

张镕、郭洪波、刘文涛、秦泽君、叶俊辰

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山西医科大学第一临床医学院 山西太原 030000

山西医科大学第一医院中医科 山西太原 030000

慢性萎缩性胃炎 半夏泻心汤 Hp阳性 MAPK/ERK信号通路

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(22)