[1]李竹林,张 婷△.小麦纤维素联合聚乙二醇对老年患者功能性便秘的疗效及炎症因子影响*[J].陕西医学杂志,2019,(10):1339-1341.
 LI Zhulin,ZHANG Ting..Effect of Wheat cellulose combined with polyethylene glycol on functional 〖JZ〗constipation and inflammatory factors in elderly patients[J].,2019,(10):1339-1341.
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小麦纤维素联合聚乙二醇对老年患者功能性便秘的疗效及炎症因子影响*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1339-1341
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Effect of Wheat cellulose combined with polyethylene glycol on functional 〖JZ〗constipation and inflammatory factors in elderly patients
文章编号:
DOI:10.3969/j.issn.10007377.2019.10.026
作者:
李竹林1张 婷2△
1.陕西省宝鸡市中心医院消化内科(宝鸡 721008);2.西安医学院第二附属医院消化内科(西安 710038)
Author(s):
LI ZhulinZHANG Ting.
Department of Gastroenterology,Baoji Central Hospital (Baoji 721008)
关键词:
老年人功能性便秘聚乙二醇小麦纤维素疗效炎症因子
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Old ageFunctional constipationPolyethylene glycolWheat celluloseEfficacyInflammatory factors
分类号:
R256.35
文献标志码:
A
摘要:
摘 要 目的:探讨小麦纤维素联合聚乙二醇治疗老年功能性便秘患者的临床效果以及对患者体内炎症因子产生的影响作用。方法:将功能性便秘老年患者86例作为研究对象,随机分为两组各43例,研究组患者给予小麦纤维素联合聚乙二醇进行治疗,对照组患者仅使用聚乙二醇进行治疗,观察两组患者的临床疗效和炎症因子水平变化情况。结果:研究组治疗后临床总有效率为95.35%,明显高于对照组76.74%,组间比较差异具有统计学意义(P<0.05);治疗前两组患者C反应蛋白(CRP)、肿瘤坏死因子α(TNFα)、白细胞介素6(IL6)各炎症因子水平比较差异无统计学意义(P>0.05),治疗后两组患者各项指标均明显降低,其中研究组降低程度明显优于对照组,组间比较差异具有统计学意义(P<0.05);研究组患者皮疹、腹部不适、恶心、心悸、头晕头痛、口干等不良并发症发生率为4.65%,明显少于对照组25.58%,组间差异具有统计学意义(P<0.05)。结论:小麦纤维素联合聚乙二醇治疗老年功能性便秘患者临床效果显著,改善患者炎性反应,安全性高,可推广使用。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective:To investigate the clinical effects of wheat cellulose combined with polyethylene glycol in the treatment of elderly patients with functional constipation and its effect on the production of inflammatory factors in patients.Methods:86 elderly patients with functional constipation admitted to our hospital from October 2016 to October 2018 were randomly divided into two groups.The study group was given wheat cellulose combined with polyethylene glycol.For the treatment,the control group was treated with only polyethylene glycol,and the clinical efficacy and inflammatory factor levels of the two groups were observed.Results:The total effective rate of the study group was 95.35% after treatment,which was significantly higher than that of the control group (76.74%).The difference between the two groups was statistically significant (P<0.05).The two groups of patients had CRP,TNFα and IL6 before treatment.There was no significant difference in the levels of inflammatory factors (P>0.05).After treatment,the indexes of the two groups were significantly lower.The reduction of the study group was significantly better than that of the control group.The difference between the two groups was statistically significant (P<0.05).The incidence of adverse complication such as rash,abdominal discomfort,nausea,palpitations,dizziness,headache and dry mouth in the study group was 4.65%,which was significantly lower than that in the control group (25.58%).The difference between the two groups was statistically significant (P<0.05).Conclusion:Wheat cellulose combined with polyethylene glycol in the treatment of elderly patients with functional constipation has a significant clinical effect,improve patients with inflammatory response,high safety,and can be promoted.

参考文献/References:

[1] 〖ZK(#〗方秀才,张 军,刘 诗,等.小麦纤维素治疗中老年人功能性便秘疗效和安全性的多中心随机对照临床试验[J].中华内科杂志,2017,56(8):577582.
[2] 刘巧云,张 松,曹海超,等.粪菌移植联合聚乙二醇治疗顽固性功能性便秘的疗效观察[J].现代生物医学进展,2016,16(11):20662069.
[3] Minguez M,Lapez HA,Judez J.Use of polyethylene glycol in functional constipation and fecal impaction.[J].Revista Espanola De Enfermedades Digestivas,2016,109(12):790806.
[4] 陈永志,邓树忠.聚乙二醇散联合双歧杆菌三联活菌散治疗老年功能性便秘的临床观察[J].中国药房,2015,9:11991201.
[5] 李亚骅,欧阳建东.聚乙二醇电解质散联合麻仁丸治疗老年功能性便秘临床观察[J].临床合理用药杂志,2016,9(19):9596.
[6] Ijn K,Broekaert I J,Wilschanski M,et al.The role of polyethylene glycol in the treatment of functional constipation in children[J].Journal of Pediatric Gastroenterology Nutrition,2017,65(4):15.
[7] 崔曼莉,张 超,张明鑫,等.复方聚乙二醇电解质散联合心理干预治疗功能性便秘临床疗效观察[J].山西医科大学学报,2016,47(10):918922.
[8] 张凤兰.复方聚乙二醇电解质散联合心理干预治疗功能性便秘临床疗效观察[J].中西医结合心血管病杂志:电子版,2016,4(33):191191.
[9] Esmaeilidooki MR,Mozaffarpur SA,Mirzapour M,et al.Comparison between the cassia fistula`s emulsion with polyethylene glycol (PEG4000) in the pediatric functional constipation:a randomized clinical trial[J].Iranian Red Crescent Medical Journal,2016,18(7):128132.〖ZK)〗
[10] 〖ZK(#〗黄希琳,唐小卓.脐周按摩配合药物治疗老年功能性便秘60例疗效观察[J].陕西医学杂志,2013,42(1):121121.
[11] 景玉清,宋秀梅.通便汤治疗慢性功能性便秘疗效观察[J].山西医药杂志(下半月刊),2010,39(10):10171017.
[12] 王泽龙,王周林,王 晓.聚乙二醇散联合西沙比利应用慢性功能性便秘的疗效观察[J].心理医生,2016,22(24):271272.

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备注/Memo

备注/Memo:
*陕西省自然科学基金资助项目(2016JM8142)
更新日期/Last Update: 2019-10-23