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张忠兵,张学庸,陈希陶,胡家露,张宏博,夏天,张波,邓敬兰,赵彦生.脾虚泄泻患者肠粘膜中SP和VIP初步探讨[J].中国中西医结合杂志,1991,(3):144-146,132
脾虚泄泻患者肠粘膜中SP和VIP初步探讨
A Preliminary Study on SP and VIP Contents in Intestinal Mucosa of Chronic Diarrhea with Splenic Weakness
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DOI:
中文关键词:  脾虚泄泻  P 物质  血管活性肠肽  肠粘膜
英文关键词:substance P  vasoactive intestinal polypeptide  intestinal mucosa  diarrhea with splenic weakness
基金项目:
作者单位
张忠兵 第四军医大学西京医院消化内科 
张学庸 第四军医大学西京医院消化内科 
陈希陶 第四军医大学西京医院消化内科 
胡家露 第四军医大学西京医院消化内科 
张宏博 第四军医大学西京医院消化内科 
夏天 第四军医大学西京医院中医科 
张波 第四军医大学西京医院中医科 
邓敬兰 第四军医大学西京医院同位素室 
赵彦生 第四军医大学西京医院同位素室 
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中文摘要:
      本研究用放射免疫技术对30例脾虚泄泻患者回肠末端、横结肠和乙状结肠粘膜中 P 物质(SP)和血管活性肠肽(VIP)进行测定,发现脾虚泄泻组回肠末端 SP 含量(120.95±90.70pg/mg 湿重)较无腹泻组(47.86±35.49pg/mg 湿重)和非脾虚泄泻组(52.50±42.49pg/mg 湿重)显著增加;脾虚泄泻组乙状结肠粘膜 VIP 含量(510.63±265.22pg/mg 湿重)较无腹泻组(308.67±204.49pg/mg 湿重)也显著增加;与非脾虚泄泻组比较(398.97±240.80pg/mg 湿重)有增加趋势,但无统计学差异,提示 SP 和 VIP 可能与脾虚泄泻的腹泻症状有关。根据脾虚临床表现和 VIP 的功能,脾虚泄泻中 VIP 可能起更重要作用。
英文摘要:
      By means of radioimmunoassay,the mucosal substance P(SP)and vasoactive intestinal polype- pride(VIP)concentration in distal ileum,transverse colon and sigmoid colon in 30 patients of chronic diarrhea with splenic weakness was determined and compared with that in 98 patients of chronic diarrhea without splenic weakness and in 15 controls without chronic diarrhea.In patients of chronic diarrhea with splenic weakness.the SP contents in the mucosa of distal ileum(120.95±90.70 pg/mg wet weight)was significantly increased compared with that in controls without diarrhea(47.86±35. 49 pg/mg wet weight)and in chronic diarrhea without splenic weakness(52.50±42.49 pg/mg wet weight),P<0.01 and 0.01<P<0.05 respectively.The VIP contents of sigmoid mucosa in patients of chronic diarrhea with splenic weakness(510.63±265.29 pg/mg wet weight)was markedly increased in comparison of that in controls without chronic diarrhea(308.67±204.49 pg/mg wet weight),0.01< P<0.05,and was not significantly augmented compared with that in chronic diarrhea without splenic weakness(398.97±240.80 pg/mg wet weight),but the tendency of increase was present Our results suggested that the increased SP and VIP in patients of chronic diarrhea with splenic weakness might be closely related to the symptom of chronic diarrhea.According to the general function of VIP,the authors predicted that VIP might play a more important role in the pathogenetic action of chronic diarrhea with splenic weakness.
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