肠易激综合征患者食物不耐受临床研究.pdf肠易激综合征患者食物不耐受临床研究.pdf

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NULLT€ENULLQ1968NULL,O,,D,V3,VYHS5TB8†˜€J‚0S5李汉华A,韩盛玺A,董巍B四川省人民医院,ANULL消化内科,B临床中心实验室,四川成都610072NULLK1NULL探讨食物不耐受在肠易激综合征IBS的发病与体液免疫的关系BZE对腹泻型IBS患者50例,便秘型IBS患者33例和健康对照组25例,采集外周静脉血,应用酶联免疫方法,半定量测定血清中14种食物抗原的特异性IGG抗体BT食物特异性IGG抗体患者阳性率腹泻型IBS66NULL0033/50例,便秘型IBS51NULL5217/33例,均高于对照组16NULL004/25例P0NULL05;腹泻型IBS和便秘型IBS比较差异无显著性意义P0NULL05BIBS患者中多种食物IGG抗体阳性者占54NULL00B‚食物介导的体液免疫反应异常即食物不耐受在IBS的发病机制中具有重要的作用BNULL1OMNULL肠易激综合征;食物不耐受;免疫球蛋白GNULLMS|NULLR574NULL4NULLDSM’NULLANULLCI|NULL1672NULL6170200805NULL0030NULL02FOODINTOLERANCESTUDYINSUBJECTSWITHIRRITABLEBOWELSYNDROMELIHANNULLHUANULL,HANSHENGNULLXI,DONGWENULLDEPARTMENTOFGASTROENTEROLOGY,SICHUANPROVINCIALPEOPLESHOSPITAL,SICHUANACADEMYOFMEDICALSCINULLENCES,CHENGDU610072,CHINANULLABSTRACTNULLOBJECTIVETOSTUDYTHEABNORMALHUMORALIMMUNEREACTIONSAFTERFOODINTOLERANCE,ANDTOINVESTIGATETHEENULLTIOLOGYANDMECHANISMOFFOODINTOLERANCEINIRRITABLEBOWELSYNDROMEIBSNULLMETHODSTHESPECIFICIGGANTIBODIESOF14DIFFERNULLENTFOODANTIGENSINSERUMWEREDETECTEDBYTHEENZYMELINKEDIMMUNOSORBANTASSAYELISAIN50CASESOFIBSWITHDIARRHEA,33CASESOFIBSWITHCONSTIPATIONAND25NORMALCONTROLSNULLRESULTSTHEPOSITIVERATEOFSERUMFOODNULLSPECIFICIGGANTIBODIESWAS64NULL7PERCENTINIBSPATIENTSWITHDIARRHEA,51NULL51PERCENTINPATIENTSWITHCONSTIPATIONNULLBOTHOFTHEMWEREHIGHERTHANTHATOFNORMALCONTROLSP0NULL05NULLBUTTHEREWASNOSIGNIFICANTDIFFERENCEBETWEENTHETWOKINDSOFIBSPATIENTSNULLAMONGTHEPATIENTSWITHPOSITIVESERUMFOODNULLSPECIFICIGGANTIBODIES,54NULL00PERCENTWASALLERGICTOMANYKINDSOFFOODSNULLCONCLUSIONTHEABNORMALHUMORALIMMUNEREACTIONSMEDIATEDBYFOODINTOLERANCEPLAYANIMPORTANTROLEINTHEIMMUNOPATHOGENESISOFIBSNULLNULLKEYWORDSNULLIRRITABLEBOWELSYNDROME;FOODINTOLERANCE;IGG8†˜IRRITABLEBOWELSYNDROME,IBSB1NŸYH,5E†LL8M1†‚A„†LS1BIBSTJVA‚0SA‹„™8FYM12BJ‚0SFOODINTOLERANCEBMQ‹ŸHB3FD8J’,V7ŒƒT3VŸFQ‹,3JSŸIGGF8,IGGF8JR™F†,V„F3Q‹,IVC†DH3BŒ1IBS€JSŸF8BIBS€“14SŸF8IGG›_,J‚0SIBSHT„,B„IBSHY„HBC/B1ZE1NULL1一般资料2006M62007M12,HSIBS€84,331,O53B˜†ROME∀S1,,L˜IBSCNULLIBS€33,312,O21,M2058,M34NULL5;˜IBSDNULLIBS€51,321,O30,M1859,M32NULL6BRBVF25RB8_€,310,O15,M1955,M33NULL2BLF„RBVFBFƒV1ŸB1NULL2方法SBIOMERICA3J‚0SK4‡,FZEELISA_B14JVSŸIGGF8B„SWL50U/M,L100U/M,L200U/M,L400U/ML;∃|D100B100NULLLFQ‹D;DI’1LH;BD;∋Q‹DF100NULLLFIGGF8NULLœV†A;I’LH;BD;∗Q‹DF100NULLL30LD52008M955T†A;DI’10S;,DF50NULLLA450NM;B14VDAAAA‚A‘AAD/AAVAAVAX„LšB;,PIGGF8IB050U/M,L|Ÿ;∃50100U/M,L;100200U/M,L;200U/M,LB1NULL3统计学方法SSPS11NULL0D9Q›S,Q1NULL2_BP0NULL05SAŸILB2T2NULL13组血清食物特异性IGG检测阳性率比较NV1BV13FBJSŸIGGF8ŸT1组别例数阳性程度例数0阳性数阳性率对照组2521310416NULL00IBSNULLD组5017101583366NULL00IBSNULLC组33167821751NULL52总IBS组83331723105060NULL24与对照组比较,P0NULL05,P0NULL001;IBSNULLD组与IBSNULLC组比较,P0NULL1872NULL2IBS患者过敏食物种类分布1JIGGŸIBS€8NULL009/50,2JIGGŸ28NULL0014/50,JIGGŸ54NULL0027/50;žVF41JIGGŸBBJIGGF8_Ÿ€,32NULL0016/50€JJ1BVJSƒNV2BV2BSŸIGGF8_ŸVJN种类IBSNULLD组IBSNULLC组对照组蟹11NULL85011NULL85虾11NULL8511NULL8511NULL85鳕鱼11NULL85011NULL85牛奶11NULL8511NULL8511NULL85小麦11NULL8511NULL850蘑菇000牛肉011NULL850蟹虾47NULL4123NULL700蟹牛奶35NULL5511NULL850鸡蛋大豆23NULL7023NULL700玉米蟹鸡蛋35NULL5511NULL850鸡蛋虾小麦35NULL5523NULL700鸡蛋牛奶大米23NULL7011NULL850蟹虾大豆西红柿35NULL5511NULL850鳕鱼蟹鸡蛋虾西红柿23NULL7000玉米蟹虾大米大豆花生23NULL7011NULL850玉米鸡蛋大米大豆西红柿小麦11NULL8500玉米蟹鸡蛋牛奶大米虾大豆11NULL8511NULL850玉米蟹鳕鱼鸡蛋大米虾西红柿23NULL7011NULL850总数3361NULL111731NULL4847NULL413‚IBSBHYH,HYTTBJYIBS1BSžJ4BIBSKCVJ‚0S1HBV„QH,•Y€35,HY‚BMXXSLLIBS€JJ6BXKYV‚J4ŸEŸIBSBSL,YVE,VR}90HŸE8IBS7BJVFIBS€,T€K‚J,‚TP18IGGF86J,IBS€AHBƒTCYP‹B„‚JFIGGF83IGGF8„IBST8BJ‚0SVIBSHYBBJV‚0S0S™1BIBS€BTCTFD19BƒVBY™A3•JFBIBS€FDJ‚’,FQ‹X\BJSŸIGE„IGGF8VIBS€Q‹,GVSP,AY0V„BS“1IGGJVQ‹8†˜1T‚I‚B,˜IBS„L˜IBSIIGGFQ‹BNWJ‚0SIBSH1TBIBS€VHC1‚0SJ,†SIBS€_žJSŸIGGF8,V_JK1B1LJSŸIGGF8_ŸWIJ10BJVMM1JSŸIGEF8IBSHG’S“€1BJ‚0S„IBS€FQ‹€B„BNULL•IDNULL1GEORGEF,LONGSTRETHW,GRANTT,ETALNULLTHEDIAGNOSISOFIBSJGASTRONULLENTEROLOGY,2006,13051480NULL1491NULL2肖文,赵超,徐蕾NULL对肠易激综合征患者食物过敏因素的调查JNULL中国医师进修杂志,2006,29848NULL49NULL3谢志贤,刘倩NULL食物不耐受与相关性疾病JNULL中华内科杂志,2006,452150NULL151NULL4SAITOYA,SCHOENFELDP,LOCKEGRNULLTHEEPIDEMIOLOGYOFIRRITABLEBOWELSYNDROMEINNORTHAMERICANASYSTEMATICREVIEWJNULLAMJGASTROENNULLTERO,L2002,9781910NULL1915NULL5WILSONA,LONGSTRETHG,KNIGHTKNULLQUALITYOFLIFEINMANAGEDCAREPATIENTSWITHIRRITABLEBOWELSYNDROMEJNULLMANAGECAREINTERFACE,2004,17124NULL28NULL6GREMSEDANULLALTERNATIVEAPPROACHTOIBSANDMIGRAINEISWINNINGOVERPROVIDERSJNULLDISMANAGADVIS,2004,1016NULL10NULL7GREMESEDA,NGUYENDUEGH,SACKSAZNULLIRRITABLEBOWELSYNDROMEANDLACTOSEMALDIGESTIONINRECURRENTABDOMINALPAININCHILDHOODJNULLSOUTHMEDJ,1999,923778NULL781NULL8ISOLAURIE,RAUTAVAS,KALLIOMAKIMNULLFOODALLERGYINIRRITABLEBOWELSYNNULLDROMENEWFACTSANDOLDFALLACIESJNULLGUT,2004,53101391NULL1393NULL9WOOLHISERMR,BROCKOWK,METCALFEDDNULLACTIVATIONOFHUMANMASTCELLSBYAGGREGATEDIGGTHROUGHFCGAMMARIADDITIVEEFFECTSOFC3AJNULLCLINIMMUNO,L2004,1102172NULL180NULL10ATKINSONW,SHELDONTA,SHAATHNNULLFOODELIMINATIONBASEDONIGGANTINULLBODIESINIRRITABLEBOWELSYNDROMEARANDOMIZEDCONTROLLEDTRIALJNULLGUT2004,53101459NULL1464NULLL2008NULL07NULL0631LD52008M955
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