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小儿广朴止泻口服液对细菌性腹泻的疗效研究

Therapeutic efficacy of Xiao’er Guangpu Zhixie Oral Liquid against bacterial diarrhea

  • 摘要: 小儿广朴止泻口服液在临床上用于湿困脾土所致的小儿泄泻,但其对细菌性腹泻的疗效尚未得到充分验证。通过微孔板法和平板活菌计数法测定小儿广朴止泻口服液对鼠伤寒沙门氏菌SL1344的最小抑菌浓度(MIC)和最小杀菌浓度(MBC),并构建小鼠细菌性腹泻模型评价其抗腹泻效果。结果显示,小儿广朴止泻口服液对鼠伤寒沙门氏菌SL1344的MIC为20倍稀释浓度,MBC为10倍稀释浓度。在鼠伤寒沙门氏菌SL1344诱导的小鼠腹泻模型中,小儿广朴止泻口服液能够改善小鼠的腹泻情况、降低腹泻指数、缓解由腹泻导致的体重下降,减轻细菌感染导致的肠组织病变。这可能与小儿广朴止泻口服液降低小鼠结肠组织TLR4和p-NF-κB表达水平、升高肠组织中紧密连接蛋白ZO-1和Occludin表达水平、及提高小肠黏膜中sIgA的含量相关。此外,小儿广朴止泻口服液治疗对小鼠肠道微生物菌群的多样性没有明显的影响,且其对沙门氏菌感染造成的小鼠肠道乳杆菌和双歧杆菌总数减少有一定的改善作用。与头孢克肟颗粒联用,能够一定程度提高头孢克肟颗粒对小鼠腹泻的改善效果,缓解由感染导致的小鼠肠组织炎症和损伤,同时对头孢克肟颗粒连续治疗引发的小鼠肠道菌群紊乱具有一定的改善作用。综上所述,小儿广朴止泻口服液对鼠伤寒沙门氏菌引起的细菌性腹泻具有一定的治疗效果,这可为小儿广朴止泻口服液的临床应用提供科学依据。

     

    Abstract: Xiao’er Guangpu Zhixie Oral Liquid (XeGp) is clinically used to treat pediatric diarrhea attributed to dampness encumbering the spleen, but its efficacy against bacterial diarrhea has not been fully established. In this study, the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of XeGp against Salmonella Typhimurium SL1344 were determined using a microplate assay and a viable plate count method. A mouse model of bacterial diarrhea was also established to evaluate its antidiarrheal effects. The results showed that the MIC and MBC of XeGp against SL1344 corresponded to 1:20 and 1:10 dilutions, respectively. In an SL1344-induced mouse model of diarrhea, XeGp alleviated diarrhea symptoms, reduced the diarrhea index, attenuated diarrhea-associated body weight loss, and ameliorated intestinal histopathological damage caused by bacterial infection. These effects may be associated with reduced expression of TLR4 and phosphorylated NF-κB (p-NF-κB) in colonic tissues, increased expression of the tight junction proteins ZO-1 and occludin in intestinal tissues, and elevated secretory immunoglobulin A (sIgA) levels in the small intestinal mucosa. In addition, XeGp treatment had no significant effect on intestinal microbial diversity and partially restored the reductions in the total numbers of Lactobacillus and Bifidobacterium caused by Salmonella infection. When administered in combination with cefixime granules, XeGp enhanced, to some extent, the effects of cefixime granules in alleviating diarrhea, intestinal inflammation, and tissue injury caused by infection. It also partially ameliorated the intestinal microbiota dysbiosis induced by continuous cefixime treatment. In conclusion, XeGp has certain therapeutic effects on bacterial diarrhea caused by S. Typhimurium, providing a scientific basis for its clinical application.

     

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