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中药溃结露灌肠对活动期溃疡性结肠炎患者血小板功能的影响

Effect of KJL clusis on platelet function in patients with active ulcerative colitis

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【作者】 武惠珍魏艳静卞红磊白希瑞

【Author】 WU Hui-zhen*,WEI Yan-jing, BIAN Hong-lei,BAI Xi-rui *Department of Laboratory Diagnosis, Hebei Medical University,Shijiazhuang 050017,China

【机构】 河北医科大学实验诊断教研室河北医科大学第三医院肛肠科河北医科大学实验诊断教研室 河北石家庄050017河北石家庄050017河北石家庄050051河北石家庄050017

【摘要】 目的 探讨中药溃结露 (KJL) )对溃疡性结肠炎 (ulcerativecolitis,UC)患者血小板功能状态的影响。方法 将 4 2例活动期溃疡性结肠炎患者随机分为柳氮磺胺吡啶 (SASP)组和溃结露两个治疗组 ,分别测定治疗前后血浆血小板α 颗粒膜蛋白 (GMP 14 0 )、血栓素B2 (TXB2 )以及血小板黏附功能 (PAdT)、聚集功能 (PAgT) ,并设 30例正常对照。结果 UC活动期患者治疗前的PAdT、PAgT、GMP 14 0、TXB2 水平明显高于对照组 (P <0 .0 5 ) ;治疗 2周后 ,两个治疗组临床症状均明显缓解 ,有效率分别为 95 .5 %、90 % ,差异无统计学意义 (P >0 .0 5 ) ;两个治疗组的PAdT、PAgT、GMP 14 0、TXB2 均较治疗前显著下降 (P <0 .0 5 )。两个治疗组的血小板指标差异无统计学意义 (P >0 .0 5 )。结论 溃结露能够抑制血小板的活性 ,对溃疡性结肠炎有良好的治疗作用。

【Abstract】 Objective To investigate effects of Chinese medical KJL on platelet function status in active ulcerative colitis. Methods Forty-two cases with active ulcerative colitis were randomly divided into SASP group, KJL group; platelet adhesivability test, platelet aggregability test,plasma GMP-140, plasma thromboxane B2 were assessed before and after administration,30 normal controls were assessed meanwhile. Results The level of PAdT,PAgT,GMP-140,TXB2 in active ulcerative colitis patients before administration were higher than that of normal control group (P< 0.05); After administration of 2 weeks, clinic symptom in two groups relieved significantly,the rate of efficiency was respectively 95.5%,90%; The level of PAdT,PAgT,GMP-140,TXB 2 in two therapy groups were either lower than that before therapy(P< 0.05), there were no significant differences in two therapy groups. Conclusion KJL can inhibit platelet activity and has a satisfactory therapeutical effect on ulcerative colitis.

  • 【分类号】R259
  • 【被引频次】3
  • 【下载频次】79
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