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凝结芽孢杆菌显著改善了肠易激综合征患者的腹痛和腹胀症状。

Bacillus coagulans significantly improved abdominal pain and bloating in patients with IBS.

作者信息

Hun Larysa

机构信息

Research Testing Laboratories, Great Neck, NY, USA.

出版信息

Postgrad Med. 2009 Mar;121(2):119-24. doi: 10.3810/pgm.2009.03.1984.

DOI:10.3810/pgm.2009.03.1984
PMID:19332970
Abstract

BACKGROUND

Symptoms of irritable bowel syndrome (IBS) can have a profound impact on emotional health and quality of life, and current treatments are sometimes unsatisfactory for patients facing this lifelong disease. Probiotics, which can normalize gastrointestinal microflora, may alleviate symptoms of IBS.

OBJECTIVE

This preliminary controlled study was conducted to evaluate the effects of the probiotic Bacillus coagulans GBI-30, 6086 on IBS symptoms.

METHODS

This was a randomized, double-blind, parallel-group, placebo-controlled clinical trial involving 44 subjects who received either placebo or B coagulans GBI-30, 6086 once a day for 8 weeks. Self-assessments of the severity of IBS symptoms (abdominal pain and bloating) were recorded every day for 8 weeks. Because baseline values were significantly different between the 2 study groups, within-group analysis was conducted.

RESULTS

Improvements from baseline abdominal pain and bloating scores in the B coagulans GBI-30, 6086 group were statistically significant for all 7 weekly comparisons (P < 0.01). In the placebo group, only changes in abdominal pain scores at weeks 6 and 8 achieved statistical significance (P < 0.05). No treatment-related adverse events or serious adverse events were reported during the 8-week study period.

CONCLUSIONS

Preliminary data suggest that the patented B coagulans GBI-30, 6086 probiotic may be a safe and effective option for the relief of abdominal pain and bloating for patients with IBS. Larger, extended trials are needed to verify these results.

摘要

背景

肠易激综合征(IBS)的症状会对情绪健康和生活质量产生深远影响,而目前的治疗方法有时无法令面临这种终身疾病的患者满意。可使胃肠道微生物群正常化的益生菌或许能缓解IBS的症状。

目的

开展这项初步对照研究,以评估益生菌凝结芽孢杆菌GBI-30、6086对IBS症状的影响。

方法

这是一项随机、双盲、平行组、安慰剂对照的临床试验,纳入44名受试者,他们被随机分为两组,一组每日服用一次安慰剂,另一组每日服用一次凝结芽孢杆菌GBI-30、6086,为期8周。连续8周每天记录IBS症状(腹痛和腹胀)严重程度的自我评估情况。由于两个研究组的基线值存在显著差异,因此进行了组内分析。

结果

凝结芽孢杆菌GBI-30、6086组腹部疼痛和腹胀评分与基线相比的改善情况在全部7次每周比较中均具有统计学意义(P<0.01)。在安慰剂组中,仅第6周和第8周的腹痛评分变化具有统计学意义(P<0.05)。在为期8周的研究期间,未报告与治疗相关的不良事件或严重不良事件。

结论

初步数据表明,获得专利的凝结芽孢杆菌GBI-30、6086益生菌可能是缓解IBS患者腹痛和腹胀的一种安全有效的选择。需要开展更大规模的长期试验来验证这些结果。

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