首页|肠道菌群紊乱与围术期神经认知障碍相关性的研究进展

肠道菌群紊乱与围术期神经认知障碍相关性的研究进展

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围术期神经认知障碍(PND)是围术期常见的中枢神经系统并发症.临床上PND的诊断与治疗手段匮乏,发生率居高不下,其机制与干预手段已经成为围术期未来研究方向之一.目前研究表明,肠道菌群紊乱可能通过微生物群-肠-脑轴参与PND的发生发展.本文从围术期多种因素影响肠道菌群组成、肠道菌群参与PND的潜在机制、特定菌群预测PND的发生发展及预防干预措施等方面进行综述,以期为保障围术期脑健康提供新理念.
Advances research in correlation between gut microbiota disturbance and perioperative neurocogni-tive disorders
Perioperative neurocognitive disorders(PND)is a common central nervous system com-plication during the perioperative period.The diagnosis and treatment methods for PND are scarce,and the incidence rate remains high.The pathogenesis and treatment of PND have become one of the future research directions in the perioperative period.Currently,the research shows that disturbance of gut microbiota may be involved in the occurrence and development of PND through the microbiota-gut-brain axis.This article re-views the multiple factors affecting gut microbiota composition during perioperative period,the potential mechanisms of dysbiosis participating in PND,the prediction of the occurrence and development of PND by specific microbiota,and corresponding preventive interventions,so as to provide new concepts for periopera-tive brain health.

Perioperative periodNeurocognitive disordersGut microbiotaMicrobiota-gut-brain axis

廖印升、祁富伟、朱江

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215000 苏州大学苏州医学院附属太仓医院麻醉科

苏州大学附属第二医院麻醉科

围术期 神经认知障碍 肠道菌群 微生物群-肠-脑轴

苏州市姑苏卫生人才科研项目

GSWS2023067

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(9)