Dubinin A V, Kabanov A V, Kirkin B V, Kolkunova G K, Igorianova N A
Vopr Pitan. 1987 Jan-Feb(1):13-6.
The paper deals with the problem of using wheat bran in the treatment of patients with irritable colon syndrome expressed as spastic constipation. The effectiveness of the treatment with the wheat bran only (in a dose of 30-35 g/day), and in combination with drugs was comparatively studied in 105 patients. The bran fractions differing in the particle size, in the content of cellulose, starch and vitamins were used in the treatment. The combined therapy proved to be advantageous only in the rate of the clinical effect, while the acceleration of the movement along the large intestine did not depend on the treatment type. A long-term (during one year) follow-up of the patients showed that the bran intake led to the cessation of the disease relapse; when the bran was abolished the symptoms of the disease appeared in 11 out of 12 cases. The highest effect was recorded with the bran fraction containing 55.3% cellulose, 18.3% lignin, 157 micrograms tocopherol and the lowest amount of starch--18.0%. A conclusion has been made that the wheat bran are effective in the treatment and prevention of intestinal diseases, the effectiveness of the treatment depends on the summary content of food fibers in the nutrition.
本文探讨了使用麦麸治疗以痉挛性便秘为表现的肠易激综合征患者的问题。对105例患者比较研究了仅使用麦麸（剂量为30 - 35克/天）以及麦麸与药物联合治疗的效果。治疗中使用了粒度、纤维素、淀粉和维生素含量不同的麦麸组分。联合治疗仅在临床疗效速度方面显示出优势，而大肠蠕动的加速并不取决于治疗类型。对患者进行为期一年的长期随访表明，摄入麦麸可使疾病复发停止；停用麦麸后，12例中有11例出现疾病症状。纤维素含量为55.3%、木质素含量为18.3%、生育酚含量为157微克且淀粉含量最低（18.0%）的麦麸组分效果最佳。得出的结论是，麦麸对肠道疾病的治疗和预防有效，治疗效果取决于营养中膳食纤维的总含量。
