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抗胃酸分泌药物对胃内菌群的影响
引用本文:李子俊,易粹琼,张锦坤,向友华,代立人.抗胃酸分泌药物对胃内菌群的影响[J].中国微生态学杂志,1996(5).
作者姓名:李子俊  易粹琼  张锦坤  向友华  代立人
作者单位:广东省人民医院消化内科,同济医科大学协和医院胃溃疡研究室
摘    要:收集40例内镜确诊为胃十二指肠溃疡病人,随机分成两组,分别予泰胃美、奥美拉唑口服;干服药前后分别行胃镜检查,并抽吸胃液行需氧菌、厌氧菌及真菌培养。结果示:胃液细菌量及硝酸盐还原菌量与胃液pH值呈正相关(r=0.802和0.7,p<0.01),抗胃酸分泌药物尤以奥美拉唑引起胃内菌量增加明显。临床治疗消化性溃疡时,应注意胃内微生态防治。

关 键 词:胃内菌群,奥美拉唑,泰甲美

THE EFFECT OF ANTIGASTRICSECRETION DRUGS ON INTRAGASTRIC MICROFLORA
Li Zijun,et al..THE EFFECT OF ANTIGASTRICSECRETION DRUGS ON INTRAGASTRIC MICROFLORA[J].Chinese Journal of Microecology,1996(5).
Authors:Li Zijun  
Abstract:patients with peptic ulcer, confirmed by endoscopy, dirvided randomly into two Group: One receiving Tagement (0.8qN), the other Omeprazole(20mg qd)for 4 weeks, Samples of gastric Juice was aspirated through sterilized of endoscopy.Aerobic and anaerobic micriflora were cultured, a nalyzed semiquantitativerly. The results showed that there was a significant relation between the intragastric PH and the total numbers of bacteria(r=0. 802, P<0. 0l),the PH and the total numbers of nitrate-reduceing bacteria(r=0.7, P<0.01). In Omeprazole group, the PH of gastric Juice; The total bacteria counts, and the nitratereduceing bacteria counts increased significantly after tratment(P<0.0l,n=20), Tagement group didn't do so(P>0. 05,n=20),Those illustrates that Omeprazole is so powerfully inhibiting the secretion of gastric acid that the intragastric bacteria overgrow.
Keywords:Flora imbalance Omeprazole Tagement  
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