Li L, Zou C, Zhou Z, Yu X
Department of Gastrointestinal Surgery, Tianjin Nankai Hospital, Tianjin, China.
Braz J Med Biol Res. 2017 Sep 21;50(11):e6331. doi: 10.1590/1414-431X20176331.
Intestinal obstruction leads to blockage of the movement of intestinal contents. After relieving the obstruction, patients might still suffer with compromised immune function and nutritional deficiency. This study aimed to evaluate the effects of Sijunzi decoction on restoring the immune function and nutritional status after relieving the obstruction. Experimental rabbits (2.5±0.2 kg) were randomly divided into normal control group, 2-day intestinal obstruction group, 2-day natural recovery group, 4-day natural recovery group, 2-day treated group, and 4-day treated group. Sijunzi decoction was given twice a day to the treated groups. The concentration of markers was analyzed to evaluate the immune function and nutritional status. The concentration of interleukin-2, immunoglobulins and complement components of the treated groups were significantly higher than the natural recovery group (P<0.05). The levels of CD4+ and CD4+/CD8+ increased then decreased in the treated groups. The levels of tumor necrosis factor-α and CD8+ were significantly lower than the natural recovery group. The level of total protein in the treated groups also increased then decreased after relieving the obstruction. The levels of albumin, prealbumin and insulin-like growth factor-1 were significantly higher in the treated groups than in the natural recovery group (P<0.05). Transferrin level in the treated groups was significantly higher than the obstruction group (P<0.05). Sijunzi decoction can lessen the inflammatory response and improve the nutrition absorption after relieving the obstruction.
肠梗阻会导致肠内容物的移动受阻。解除梗阻后,患者仍可能存在免疫功能受损和营养缺乏的情况。本研究旨在评估四君子汤对解除梗阻后恢复免疫功能和营养状况的影响。将实验兔(体重2.5±0.2千克)随机分为正常对照组、2天肠梗阻组、2天自然恢复组、4天自然恢复组、2天治疗组和4天治疗组。治疗组每天给予两次四君子汤。分析标志物浓度以评估免疫功能和营养状况。治疗组的白细胞介素-2、免疫球蛋白和补体成分浓度显著高于自然恢复组(P<0.05)。治疗组中CD4+和CD4+/CD8+水平先升高后降低。肿瘤坏死因子-α和CD8+水平显著低于自然恢复组。治疗组梗阻解除后总蛋白水平也先升高后降低。治疗组的白蛋白、前白蛋白和胰岛素样生长因子-1水平显著高于自然恢复组(P<0.05)。治疗组的转铁蛋白水平显著高于梗阻组(P<0.05)。四君子汤可减轻梗阻解除后的炎症反应并改善营养吸收。