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肠易激综合征患者服用酪酸菌制剂前后肠道菌群状况 被引量:23

INTESTINAL FLORAL CHANGES IN PATIENTS WITH IRRITABLE BOWEL\=SYNDROME AFTER INGESTION OF CLOSTRIDIUM BUTYRICUM PREPARATION
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摘要 治疗IBS,观察酪酸菌制剂的临床疗效及肠道菌群状况。从门诊随机选择21例男性,9例女性。检测大便常见菌群和病原菌,采用Miles-Misro介绍的滴注法操作。每次培养时均选上述细菌标准菌株一同培养作质控。治疗前总厌氧菌、双歧杆菌和乳酸杆菌下降,而有潜在致病性的梭菌明显下降。无致病菌生长。治疗后腹泻次数明显减少。总有效率为834%,双歧杆菌和乳酸杆菌升高明显。结论:IBS易致肠菌失调,酪酸菌能抑制肠道内腐败菌、病原菌,并能促进双歧杆菌、乳酸菌等肠道内的有益菌发育。 Used Cb preparation in treating patients with IBS and investigated its efficacy and changes in intestinal flora it caused.Thirty outpatients were selected randomly to enter into study,twenty-one were males and nine were females.Commonly encountered bacteria and pathogenic bacteria in feces of patients were examined.Bacterial counting were made according to Miles-Misro methods.Standard bacterial strains of all examined bacteria were incubated at the same time served as quality control.The colonies grown on the agar plates were discriminated according to their characteristics and shapes and staining characters of bacteria. Before treatment,the amount of total anaerobe,bifidobacterium and lactobacillus in patients with IBS decrease,while the amount of potential pathogenic clostridia increase significantly.No pathogen was found in individuals of either groups.After treatment.the number of daily bowel movement decreased from 6.05.6 preteatment to1.71.11(p<0.001).The global response rate was 83.4%,No side effect was observed during treatment.The number of bifidobacterium and lactobacillus incressed significantly in patients with IBS.There is disturbance in intestinal flora of patients with IBS.Cb can regulate intestinal flora and reverse it to a balances status by inhibiting intestinal putrifactive bacilli and pathogenic bacteria and promoting the growth of beneficial intestinal bacteria such as bifidobacterium and lactobacilli.
出处 《中国微生态学杂志》 CAS CSCD 1999年第3期164-166,共3页 Chinese Journal of Microecology
关键词 肠易激综合征 酪酸菌制剂 肠道菌群 疗效 Irritable bowel syndrome Clostridium butyricum Intestinal flora
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参考文献3

  • 1康白,微生态学,1988年,122页
  • 2康白,正常菌群与健康,1985年,143页
  • 3大连医学院正常菌群实验室,全国正常菌群学术讨论会正常与葡萄球菌蛋白专辑,1982年,109页

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