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[米糠纤维和消胆胺治疗对油症患者临床及实验室检查结果的影响]

[Effects of treatment with rice bran fiber and cholestyramine on clinical and laboratory findings in Yusho patients].

作者信息

Tsuji H, Ikeda K, Nomiyama K, Fujishima M

机构信息

Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka.

出版信息

Fukuoka Igaku Zasshi. 1993 May;84(5):282-6.

PMID:8392485
Abstract

To investigate the therapeutic effects of rice bran fiber (30 g/day) and cholestyramine (12 g/day) for Yusho, clinical signs and symptoms, and laboratory examinations were studied before, during and after 14 day-treatment in four patients with Yusho. The increases of bowel movements and abdominal distention were observed in two of these patients, although no effect was seen in physical findings. In peripheral blood cells, red blood cell counts decreased significantly, from 430 +/- 47 x 10(4)/mm3 (mean +/- SD) to 378 +/- 48 x 10(4)/mm3 (p < 0.01) after therapy. Hemoglobin as well as hematocrit levels were also reduced significantly afer the therapy. However, no significant effect of the treatment was observed in white blood cell counts or platelet counts. In biochemical parameters, a significant depression was observed in total cholesterol levels after the therapy (from 262 +/- 31 mg/dl to 179 +/- 33 mg/dl; p < 0.005). A significant elevations was observed in serum levels of alanine aminotransferase and sodium, while significant depressions were found in serum levels of cholinesterase, total protein, albumin, gamma-globulin, and potassium.

摘要

为研究米糠纤维(30克/天)和消胆胺(12克/天)对油症患者的治疗效果,对4例油症患者在治疗前、治疗14天期间及治疗后进行了临床症状和体征以及实验室检查。其中2例患者观察到排便次数增加和腹胀,尽管体格检查未见效果。治疗后外周血细胞中,红细胞计数显著下降,从430±47×10⁴/mm³(均值±标准差)降至378±48×10⁴/mm³(p<0.01)。血红蛋白以及血细胞比容水平在治疗后也显著降低。然而,治疗对白细胞计数或血小板计数未观察到显著效果。在生化参数方面,治疗后总胆固醇水平显著降低(从262±31毫克/分升降至179±33毫克/分升;p<0.005)。血清丙氨酸转氨酶和钠水平显著升高,而血清胆碱酯酶、总蛋白、白蛋白、γ-球蛋白和钾水平显著降低。

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