首页> 外文期刊>Journal of Hainan Medical University >Effects of nutritional support and intervention on intestinal flora, Th cellular immune response and inflammatory response in patients with severe ulcerative colitis
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Effects of nutritional support and intervention on intestinal flora, Th cellular immune response and inflammatory response in patients with severe ulcerative colitis

机译:营养支持和干预对重度溃疡性结肠炎患者肠道菌群,Th细胞免疫反应和炎症反应的影响

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Objective: To explore the effects of nutritional support and intervention on intestinal flora,Th cellular immune response and inflammatory response in patients with severe ulcerativecolitis. Methods: A total of 90 UC patients who were diagnosed and treated in the hospitalbetween August 2014 and January 2017 were divided into the control group (n=45) and thenutritional intervention group (n=45) by random number table. Control group received clinicalroutine therapy for UC, and nutritional intervention group received routine therapy as well asnutritional support and intervention. The differences in the intestinal flora distribution, Th1/Th2 cytokine contents and inflammatory mediator contents were compared between the twogroups. Results: Before intervention, there was no statistically significant difference in theintestinal flora distribution, Th1/Th2 cytokine contents and inflammatory mediator contentsbetween the two groups. After intervention, the number of enterobacter and enterococcus innutritional intervention group were lower than those in control group whereas the numberof lactobacilli, Bifidobacterium and clostridium butyricum were higher than those in controlgroup; serum IL-2 and IFN-γ contents were lower than those of control group whereasIL-4 and IL-10 contents were higher than those of control group; serum MCP-1, MIP-1a andHMGB-1 contents were lower than those of control group. Conclusion: Nutritional supportand intervention can further balance the intestinal flora distribution and Th1/Th2 immuneresponse and suppress the systemic inflammatory response in patients with severe ulcerativecolitis.
机译:目的:探讨营养支持和干预对重症溃疡性结肠炎患者肠道菌群,Th细胞免疫反应和炎症反应的影响。方法:将2014年8月至2017年1月期间在医院诊断和治疗的90例UC患者按随机数字表分为对照组(n = 45)和营养干预组(n = 45)。对照组接受UC临床常规治疗,营养干预组接受常规治疗以及营养支持和干预。比较两组的肠道菌群分布,Th1 / Th2细胞因子含量和炎性介质含量的差异。结果:干预前,两组之间的肠道菌群分布,Th1 / Th2细胞因子含量和炎性介质含量无统计学差异。干预后,肠杆菌和肠球菌营养干预组的数量均低于对照组,而乳酸菌,双歧杆菌和丁酸梭菌的数量均高于对照组。血清IL-2和IFN-γ含量低于对照组,而IL-4和IL-10含量高于对照组。血清MCP-1,MIP-1a和HMGB-1含量均低于对照组。结论:营养支持和干预可以进一步平衡重度溃疡性结肠炎患者的肠道菌群分布和Th1 / Th2免疫反应,并抑制全身炎症反应。

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