文章摘要
中药复方靶向菌群治疗腹泻型肠易激综合征的研究进展
Research Progress of Traditional Chinese Medicine Compound Targeting Microbiota in Treatment of Diarrhea-predominant Irritable Bowel Syndrome
投稿时间:2022-12-22  录用日期:2023-01-11
DOI:
中文关键词: 中药  腹泻型肠易激综合征  肠道菌群  研究进展
英文关键词: traditional Chinese medicine  diarrhea-predominant irritable bowel syndrome  gut microbiota  research progress
基金项目:国家自然科学基金项目(81603509);山东省中医药重点学科建设项目[鲁卫中医药科教字[2022]4号];济宁医学院中西医结合治疗脾胃病创新团队项目(jy201918);济宁医学院大学生创新训练计划项目(cx2021144)
作者单位邮编
张儒奇 济宁医学院 272067
董晓婕 济宁医学院 272067
林子悦 济宁医学院 272067
朱炳旭 济宁医学院 272067
秦天豪 济宁医学院 272067
于斌 济宁医学院 272067
王荣 济宁医学院 272067
孙闵 济宁医学院 272067
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中文摘要:
      腹泻型肠易激综合征(diarrhea-predominant irritable bowel syndrome,IBS-D)是临床常见的胃肠道疾病之一。治疗上,现代医学常采取饮食干预、药物治疗以及认知行为疗法等方式,但存在较多不良反应,且易复发,而中医药治疗IBS-D则安全有效。目前肠道菌群与IBS-D之间的相互作用关系受到广泛重视,该文综述国内外文献,发现肠道菌群作为脑肠交互机制的新中介,在免疫系统、神经内分泌系统等方面发挥重要作用。中药复方可靶向肠道菌群,影响厚壁菌门、拟杆菌门、普雷沃菌属以及双歧杆菌、乳酸杆菌、大肠杆菌等菌群组成结构变化,并通过抗炎、降低内脏高敏性、恢复肠道黏膜屏障、调节胃肠动力等作用途径,有效缓解IBS-D临床症状。
英文摘要:
      Diarrhea-predominant irritable bowel syndrome (IBS-D) is one of the common clinical gastrointestinal diseases. In terms of treatment, modern medicine often adopts diet intervention, drug treatment and cognitive behavioral therapy, but there are many adverse reactions and easy to relapse, while traditional Chinese medicine treatment of IBS-D is safe and effective. At present, the interaction between gut microbiota and IBS-D has received extensive attention. This paper reviews the literature at home and abroad, and finds that gut microbiota, as a new intermediary of brain-gut interaction mechanism, plays an important role in immune system and neuroendocrine system. The traditional Chinese medicine compound can target the gut microbiota, affect the composition and structure of Firmicutes, Bacteroideta, Prevotella, Bifidobacterium, Lactobacillus, Escherichia coli and other gut microbiota, and effectively alleviate the clinical symptoms of IBS-D by reducing inflammation, inhibiting visceral hypersensitivity, restoring intestinal mucosal barrier, regulating gastrointestinal motility and other effects.
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