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小儿急性肠胃炎中使用普卢兰的随机试验。

A randomised trial of pleuran in paediatric acute gastroenteritis.

作者信息

Wzorek-Łyczko Katarzyna, Piwowarczyk Anna, Woźniak Weronika, Kuchar Ernest, Szymański Henryk

机构信息

The Department of Pediatrics with Clinical Assessment Unit, Medical University of Warsaw, 63A Żwirki & Wigury Street, Warsaw, 02-091, Poland.

The Department of Pediatrics, St Hedwig of Silesia Hospital, Trzebnica, Poland.

出版信息

Sci Rep. 2025 May 15;15(1):16912. doi: 10.1038/s41598-025-94893-3.

Abstract

Pleuran, as a potent immunomodulator targeting intestinal immunity with a strong safety profile, could be a potential treatment for acute gastroenteritis. This study evaluates the effect of pleuran on the duration and severity of acute infectious diarrhoea in children. This is a multi-centre, randomised, double-blind, placebo-controlled, CONSORT statement superiority trial. Children aged 2-10 years presenting to hospital with acute gastroenteritis were included. The primary outcome measure was the duration of diarrhoea. Twenty-seven children were enrolled. There were no significant differences between the experimental and control groups regarding duration of diarrhoea, hospitalisation, intravenous rehydration and symptom severity. The administration of Pleuran was well tolerated. In this study, Pleuran was ineffective in the treatment of acute gastroenteritis in children. Further studies are needed to investigate its potential as a nutraceutical in children.Clinical registration: ClinicalTrials.gov ID: NCT03988257 (the date of registration: 17/06/2019). The Medical University of Warsaw Bioethical Committee Approval: KB/45/2018. Nutricia Foundation Grant: RG-3/2018.

摘要

茯苓聚糖作为一种针对肠道免疫的强效免疫调节剂,安全性良好,可能是治疗急性肠胃炎的潜在药物。本研究评估了茯苓聚糖对儿童急性感染性腹泻病程和严重程度的影响。这是一项多中心、随机、双盲、安慰剂对照的符合CONSORT声明的优效性试验。纳入了因急性肠胃炎到医院就诊的2-10岁儿童。主要结局指标为腹泻持续时间。共纳入27名儿童。试验组和对照组在腹泻持续时间、住院情况、静脉补液及症状严重程度方面无显著差异。茯苓聚糖的给药耐受性良好。在本研究中,茯苓聚糖对儿童急性肠胃炎治疗无效。需要进一步研究以探讨其作为儿童营养保健品的潜力。临床注册:ClinicalTrials.gov标识符:NCT03988257(注册日期:2019年6月17日)。华沙医科大学生物伦理委员会批准号:KB/45/2018。纽迪希亚基金会资助:RG-3/2018。

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