首页|心脏外科手术患者围术期肠道菌群变化的研究进展

心脏外科手术患者围术期肠道菌群变化的研究进展

Research progress of perioperative intestinal flora changes in patients undergoing cardiac surgery

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心血管疾病(CVD)严重威胁着人类健康.CVD患者的肠道菌群有着明显变化,与疾病的发生发展密切相关.肠道菌群的紊乱是CVD发生和发展的主要机制,主要表现在其代谢产物三甲胺-N-氧化物(TMAO)的产生增加及短链脂肪酸(SCFAs)的生成减少.研究发现不仅CVD患者的肠道菌群发生明显的变化,而且受禁饮禁食时间、抗生素、体外循环时间、低体温时间等影响,心脏手术患者围术期的肠道菌群组成和功能也可发生变化,这种变化直接影响患者的预后,但机理尚未明确.因此笔者就这一热点做一综述,从肠道微生态角度探讨改善心脏手术患者术后恢复及促进人类心血管健康的新策略.
Cardiovascular disease(CVD)seriously threatens human health.The gut microbiota of CVD patients shows significant changes,which are closely related to the occurrence and development of the disease.The disturbance of intestinal flora is the main mechanism of the occurrence and development of CVD,which is mainly manifested in the increase of the production of its metabolite trimethylamine-N-oxide(TMAO)and the decrease of the production of short-chain fatty acids(SCFAs).Studies have found that not only the intestinal flora of CVD patients has changed obviously,but also the perioperative intestinal flora of cardiac surgery patients is affected by fasting time,antibiotics,extracorporeal circulation time,hypothermia time,etc.,resulting in changes in the composition and function of perioperative intestinal flora,which directly determined the prognosis of patients,but the mechanism is not yet clear,so this paper reviews this hot spot,and discusses new strategies to improve postoperative recovery of heart surgery patients and promote human cardiovascular health from the perspective of intestinal microecology.

PerioperativeIntestinal floraCardiovascular diseaseCardiac surgery

杨美旭、陈文栋、杨堃

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昆明医科大学第一附属医院麻醉科,云南昆明 650000

围术期 肠道菌群 心血管疾病 心脏外科手术

云南省高层次卫生健康技术人才(后备人才)培养专项

H-2019028

2024

中国临床研究
中华预防医学会

中国临床研究

CSTPCD
影响因子:0.943
ISSN:1674-8182
年,卷(期):2024.37(4)
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