Takagi Atsushi, Yanagi Hidetaka, Ozawa Hideki, Uemura Naomi, Nakajima Shigemi, Inoue Kazuhiko, Kawai Takashi, Ohtsu Toshihiro, Koga Yasuhiro
Department of Internal Medicine, Tokai University School of Medicine, Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Department of Gastroenterology, Kohnodai Hospital, National Center for Global Health and Medicine, 1-7-1 Kohnodai, Ichikawa, Chiba 272-8516, Japan.
Gastroenterol Res Pract. 2016;2016:7490452. doi: 10.1155/2016/7490452. Epub 2016 Jul 11.
Some Lactobacillus spp. suppress Helicobacter pylori in the stomach and have potential therapeutic applications for the treatment of gastrointestinal conditions. In this study, the effects of Lactobacillus strains on functional dyspepsia associated with H. pylori infection were examined. Volunteers were screened using the (13)C-urea breath test (UBT) and H. pylori stool test, and 131 participants who met the selection criteria (mean age: 48.9 years) were randomly given L. gasseri OLL2716-containing yogurt or placebo yogurt once daily for 12 weeks. Gastrointestinal symptoms (epigastric pain, bloating, postprandial fullness, nausea, and heartburn) and the levels of serum pepsinogen (PG), (13)C-UBT, and H. pylori stool antigen were assessed. No significant differences were observed between the groups in UBT results, H. pylori stool antigens, or the serum PGI/II ratio. In the L. gasseri group, postprandial fullness was significantly lower at the end of the trial compared to the initial level (p < 0.05) and significantly fewer patients had a VAS score of >10 for bloating compared to the placebo group (p < 0.05). Dietary supplementation with L. gasseri OLL2716-containing yogurt may effectively suppress dyspeptic symptoms in H. pylori-infected patients. This study was registered at the University Hospital Medical Network Clinical Trial Registry (UMIN000016746).
一些乳酸杆菌属菌株可抑制胃内的幽门螺杆菌,在胃肠道疾病治疗方面具有潜在的治疗应用价值。在本研究中,检测了乳酸杆菌菌株对幽门螺杆菌感染相关功能性消化不良的影响。使用(13)C-尿素呼气试验(UBT)和幽门螺杆菌粪便检测对志愿者进行筛查,131名符合入选标准的参与者(平均年龄:48.9岁)被随机给予每天一次含格氏乳杆菌OLL2716的酸奶或安慰剂酸奶,持续12周。评估胃肠道症状(上腹部疼痛、腹胀、餐后饱胀、恶心和烧心)以及血清胃蛋白酶原(PG)水平、(13)C-UBT和幽门螺杆菌粪便抗原。两组在UBT结果、幽门螺杆菌粪便抗原或血清PGI/II比值方面未观察到显著差异。在格氏乳杆菌组中,与初始水平相比,试验结束时餐后饱胀感显著降低(p<0.05),与安慰剂组相比,腹胀视觉模拟评分(VAS)>10分的患者明显减少(p<0.05)。补充含格氏乳杆菌OLL2716的酸奶可能有效抑制幽门螺杆菌感染患者的消化不良症状。本研究已在大学医院医学网络临床试验注册中心注册(UMIN000016746)。
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