Tsuji H, Nomiyama K, Ikeda K, Kawatoko T, Cai J P, Fujishima M, Takahashi K
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka.
Fukuoka Igaku Zasshi. 1991 May;82(5):330-4.
To investigate clinical effects of rice bran fiber and cholestyramine therapy in Yusho, peripheral blood cells and biochemical parameters were studied before and after therapy in eleven healthy volunteers and four patients with Yusho who were treated with rice bran fiber 30 g/day and cholestyramine 12 g/day for 7 days. In healthy volunteers, a significant elevation in total leukocyte counts as well as lymphocyte counts was observed after therapy (leukocyte p less than 0.005, and lymphocyte, p less than 0.01). In lymphocyte subpopulations, significant elevations were found in CD3- and B1-positive cells (CD3, p less than 0.05 and B1, p less than 0.001). However, no significant effect of the treatment was observed in reticulocyte counts or platelet counts. In biochemical parameters, total cholesterol levels decreased significantly, from 208 +/- 36 mg/dl (mean +/- SD) to 173 +/- 30 mg/dl (p less than 0.001), after therapy. HDL-cholesterol levels were also reduced significantly after therapy (from 50 +/- 12 to 46 +/- 13/mg/dl; p less than 0.05). Serum triglyceride levels increased significantly, from 155 +/- 96 to 195 +/- 133 mg/dl (p less than 0.05), after therapy. A significant increase was observed in serum levels of alanine aminotransferase, while significant depressions were found in serum levels of total bilirubin, total protein, gamma-globulin, creatinine, and calcium. In four Yusho patients who received rice bran fiber and cholestyramine therapy twice with more than one month interval, the clinical effects of therapy in addition to biochemical effects were studied. An only significant effect was observed in serum levels of total cholesterol.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究米糠纤维和消胆胺疗法对 Yusho 病的临床疗效,对 11 名健康志愿者和 4 名 Yusho 病患者进行了研究,这些患者每天服用 30 克米糠纤维和 12 克消胆胺,共治疗 7 天,治疗前后检测外周血细胞和生化指标。在健康志愿者中,治疗后总白细胞计数以及淋巴细胞计数显著升高(白细胞 p<0.005,淋巴细胞 p<0.01)。在淋巴细胞亚群中,CD3 和 B1 阳性细胞显著升高(CD3,p<0.05;B1,p<0.001)。然而,治疗对网织红细胞计数或血小板计数没有显著影响。在生化指标方面,治疗后总胆固醇水平显著降低,从 208±36mg/dl(平均值±标准差)降至 173±30mg/dl(p<0.001)。高密度脂蛋白胆固醇水平治疗后也显著降低(从 50±12 降至 46±13mg/dl;p<0.05)。血清甘油三酯水平治疗后显著升高,从 155±96 升至 195±133mg/dl(p<0.05)。血清谷丙转氨酶水平显著升高,而血清总胆红素、总蛋白、γ-球蛋白、肌酐和钙水平显著降低。在 4 名接受米糠纤维和消胆胺治疗两次且间隔超过 1 个月的 Yusho 病患者中,研究了治疗的临床效果以及生化效果。仅观察到血清总胆固醇水平有显著变化。(摘要截断于 250 字)