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Am J Transl Res. 2025 Jun 15;17(6):4859-4866. doi: 10.62347/JFCI2618. eCollection 2025.
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Atractylodes macrocephala-Paeonia lactiflora Class Formula for the Treatment of Irritable Bowel Syndrome: A Systematic Review With Meta-Analysis and Trial Sequential Analysis.白术-芍药类方治疗肠易激综合征:一项Meta分析和试验序贯分析的系统评价
Cureus. 2023 Dec 5;15(12):e49997. doi: 10.7759/cureus.49997. eCollection 2023 Dec.
2
Efficacy and safety of Weichang' an pill combined with Western Medicine on gastrointestinal diseases: a systematic review and Meta-analysis.胃肠疾病中胃肠安丸联合西药治疗的疗效及安全性:系统评价与 Meta 分析。
J Tradit Chin Med. 2023 Oct;43(6):1057-1067. doi: 10.19852/j.cnki.jtcm.20230814.003.
3
Otilonium Bromide acts as a selective USP28 inhibitor and exhibits cytotoxic activity against multiple human cancer cell lines.奥替溴铵作为一种选择性USP28抑制剂,对多种人类癌细胞系具有细胞毒性活性。
Biochem Pharmacol. 2023 Sep;215:115746. doi: 10.1016/j.bcp.2023.115746. Epub 2023 Aug 12.
4
Irritable bowel syndrome: Epidemiology, overlap disorders, pathophysiology and treatment.肠易激综合征:流行病学、重叠障碍、病理生理学和治疗。
World J Gastroenterol. 2023 Jul 14;29(26):4120-4135. doi: 10.3748/wjg.v29.i26.4120.
5
Irritable bowel syndrome and mental health comorbidity - approach to multidisciplinary management.肠易激综合征与精神健康共病——多学科管理方法。
Nat Rev Gastroenterol Hepatol. 2023 Sep;20(9):582-596. doi: 10.1038/s41575-023-00794-z. Epub 2023 Jun 2.
6
Otilonium Bromide Prevents Cholinergic Changes in the Distal Colon Induced by Chronic Water Avoidance Stress, a Rat Model of Irritable Bowel Syndrome.奥替溴铵预防慢性水回避应激诱导的大鼠肠易激综合征模型中远端结肠的胆碱能变化。
Int J Mol Sci. 2023 Apr 18;24(8):7440. doi: 10.3390/ijms24087440.
7
Irritable Bowel Syndrome and the Gut Microbiome: A Comprehensive Review.肠易激综合征与肠道微生物群:综述
J Clin Med. 2023 Mar 28;12(7):2558. doi: 10.3390/jcm12072558.
8
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A Discussion of Whether Various Lifestyle Changes can Alleviate the Symptoms of Irritable Bowel Syndrome.关于各种生活方式的改变是否能缓解肠易激综合征症状的讨论。
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Inflammatory Bowel Disease: Clinical Diagnosis and Surgical Treatment-Overview.炎症性肠病:临床诊断与外科治疗概述。
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奥替溴铵与马来酸曲美布汀联合治疗对肠易激综合征患者显示出显著的临床优势。

Combination therapy with otilonium bromide and trimebutine maleate demonstrates significant clinical advantages in irritable bowel syndrome patients.

作者信息

Chen Dingfeng, Ni Dongqiong, Yang Haiyan

机构信息

Department of Gastroenterology, The Affiliated Hospital of Shaoxing University Shaoxing 312000, Zhejiang, China.

出版信息

Am J Transl Res. 2025 Jun 15;17(6):4859-4866. doi: 10.62347/JFCI2618. eCollection 2025.

DOI:10.62347/JFCI2618
PMID:40672632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12261174/
Abstract

OBJECTIVE

To evaluate the efficacy of combined otilonium bromide (OB) and trimebutine maleate (TM-906) therapy in patients with irritable bowel syndrome (IBS).

METHODS

Data from 105 IBS patients treated at the Affiliated Hospital of Shaoxing University were retrospectively analyzed. Patients were divided into two groups: the control group (n=50), receiving OB alone, and the observation group (n=55), receiving both OB and TM-906. A comprehensive set of data, including treatment efficacy, safety profiles, clinical symptom improvements, serum markers, and quality of life, were collected from both groups.

RESULTS

The observation group exhibited significantly higher treatment efficacy and greater improvement in quality of life compared to the control group (P<0.05). The incidence of adverse reactions was similar between groups (7.27% vs. 6.00%, P>0.05). Additionally, the observation group experienced faster symptom relief and a more substantial reduction in inflammatory markers post-treatment (P<0.05).

CONCLUSIONS

Combined therapy with OB and TM-906 is a safe and effective treatment for IBS, offering quicker symptom relief and substantial improvement in quality of life.

摘要

目的

评估奥替溴铵(OB)与马来酸曲美布汀(TM - 906)联合治疗对肠易激综合征(IBS)患者的疗效。

方法

回顾性分析绍兴文理学院附属医院收治的105例IBS患者的数据。患者分为两组:对照组(n = 50),仅接受OB治疗;观察组(n = 55),接受OB和TM - 906联合治疗。从两组收集了一套全面的数据,包括治疗效果、安全性、临床症状改善情况、血清标志物和生活质量。

结果

与对照组相比,观察组的治疗效果显著更高,生活质量改善更大(P < 0.05)。两组间不良反应发生率相似(7.27%对6.00%,P > 0.05)。此外,观察组治疗后症状缓解更快,炎症标志物下降更明显(P < 0.05)。

结论

OB与TM - 906联合治疗是IBS的一种安全有效的治疗方法,能更快缓解症状并显著改善生活质量。