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[糖皮质激素对胃黏膜愈合过程的影响]

[The Influence of Glucocorticoids on the Healing Processes in the Gastric Mucosa].

作者信息

Podvigina T T, Filaretova L P

出版信息

Usp Fiziol Nauk. 2016 Jan-Mar;47(1):3-14.

Abstract

In this review, we analyzed the data of literature about the glucocorticoid influences on the gastric erosion and ulcer healing. The data show that multiple injections of glucocorticoids at pharmacological doses delay gastric erosion and ulcer healing. However, according to experimental results endogenic glucocorticoids, on the contrary, play significant role in maintenance of gastric mucosal integrity. Thus, glucocorticoids may have dual effect on healing of gastric injury: contribute to healing process or delay them. The initial glucocorticoid action is physiological and consists in a participation in healing processes what is considered as component gastroprotective action of these hormones. During a long-lasting action of glucocorticoids, the physiological effect can be transformed into pathological one, delaying erosion and ulcer healing, and this contributes to the ulcerogenic action of glucocorticods.

摘要

在本综述中,我们分析了有关糖皮质激素对胃糜烂和溃疡愈合影响的文献数据。数据表明,多次注射药理剂量的糖皮质激素会延迟胃糜烂和溃疡的愈合。然而,根据实验结果,内源性糖皮质激素却相反,在维持胃黏膜完整性方面发挥着重要作用。因此,糖皮质激素对胃损伤的愈合可能具有双重作用:促进愈合过程或延迟愈合。糖皮质激素的初始作用是生理性的,包括参与愈合过程,这被认为是这些激素胃保护作用的一个组成部分。在糖皮质激素的长期作用过程中,生理效应可能会转变为病理效应,延迟糜烂和溃疡的愈合,这也导致了糖皮质激素的致溃疡作用。

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