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青黛对炎症性肠病TGF-β1/Smad 3信号通路相关分子表达的临床研究OA

Clinical Study of Qingdai on the Expression of Molecules Related to TGF-β1/Smad 3 Signaling Pathway in Inflammatory Bowel Disease

中文摘要英文摘要

目的:探讨青黛对炎症性肠病转化生长因子β1/信号传导蛋白 3(TGF-β1/Smad 3)信号通路相关分子表达的临床效果.方法:选取 2021 年 1 月—2023 年 1 月在景德镇市第二人民医院被确诊为溃疡性结肠炎或克罗恩病的患者共 80 例,根据随机抽签方式对其进行分组,包括观察组和对照组,两组各 40 例,对照组采取常规治疗,观察组则在此基础上采取青黛口服治疗,连续治疗 2 个月.比较两组临床疗效、TGF-β1/Smad 3 表达、免疫功能及不良反应.结果:观察组治疗总有效率为 90.00%,明显高于对照组的 60.00%,差异有统计学意义(P<0.05).治疗前,两组TGF-β1/Smad 3 表达差异无统计学意义(P>0.05);治疗后两组TGF-β1/Smad 3 protein及mRNA表达均高于治疗前,且观察组均高于对照组,差异均有统计学意义(P<0.05).治疗后,两组CD3+、CD4+水平均高于治疗前,CD8+水平均低于治疗前,且观察组CD3+、CD4+水平均高于对照组,CD8+水平低于对照组,差异均有统计学意义(P<0.05).观察组和对照组治疗不良反应总发生率分别为 10.00%、20.00%,差异无统计学意义(P>0.05).结论:青黛可通过修复炎症性肠病患者TGF-β1/Smad 3 信号通路,改善临床疗效,具有较高临床价值.

Objective:To explore the clinical effect of Qingdai on the expression of TGF-β1/Smad 3 signaling pathway related molecules in inflammatory bowel disease.Method:A total of 80 patients diagnosed as ulcerative colitis or Crohn's disease in the Second People's Hospital of Jingdezhen from January 2021 to January 2023 were selected and divided into the observation group and the control group according to the random drawing method,with 40 patients in each group.The control group was treated with routine treatment,while the observation group was treated with Qingdai on the basis of conventional treatment.The treatment was continued for 2 months,the clinical efficacy,TGF-β1/Smad 3 expression,immune function and adverse reactions were compared between the two groups.Result:The total effective rate in the observation group was 90.00%,which was significantly higher than 60.00%in the control group,the difference was significant(P<0.05).Before treatment,there was no significant difference in the expression of TGF-β1/Smad 3 between the two groups(P>0.05).After treatment,the expressions of TGF-β1/Smad 3 protein and mRNA in the two groups were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were significance(P<0.05).After treatment,CD3+ and CD4+ levels were higher than before treatment,CD8+ levels were lower than before treatment,and CD3+ and CD4+ levels in the observation group were higher than those in the control group,and CD8+ levels was lower than that in the control group,the differences were significant(P<0.05).The total incidence of adverse reactions in the observation group and control group were 10.00%and 20.00%respectively,there was no statistical difference(P>0.05).Conclusion:Qingdai can improve the clinical efficacy by repairing TGF-β1/Smad 3 signal pathway in patients with inflammatory bowel disease,which has high clinical value.

胡招兵;潘华;贾志红

景德镇市第二人民医院肿瘤科 江西 景德镇 333000景德镇市第二人民医院中医科 江西 景德镇 333000景德镇市第二人民医院病理科 江西 景德镇 333000

青黛炎症性肠病TGF-β1/Smad 3信号通路

QingdaiInflammatory bowel diseaseTGF-β1/Smad 3 signaling pathway

《中国医学创新》 2024 (010)

11-15 / 5

江西省中医药管理局科技计划项目(2022A073)

10.3969/j.issn.1674-4985.2024.10.003

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