首页|基于肠道微生态探讨中医药治疗幽门螺杆菌感染的研究进展

基于肠道微生态探讨中医药治疗幽门螺杆菌感染的研究进展

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幽门螺杆菌(Helicobacter pykori,H。pylori)是一种定植于胃黏膜上皮表面的微需氧革兰阴性菌,可以诱发多种胃肠道疾病,全球有50%以上的人感染了 H。pylori。在人体复杂而庞大的肠道微生态系统中,H pylori感染能引起肠道菌群组成的改变,H pylori根除治疗也会改变肠道菌群的多样性和结构,但其潜在机制尚不明确。近年来,中医药被认为是治疗H。 pylori感染的新路径之一,在H pylori根除治疗期间联合应用中医药可提高其根除率,改善肠道菌群紊乱,降低抗生素相关不良反应的发生。但中医药对肠道菌群调节作用的研究刚刚起步,对肠道菌群稳态的影响和机制研究仍需深入进行。本文就以上内容进行一些探讨和展望,以期为临床工作提供新的思路。
Traditional Chinese medicine treatment for Helicobacter pylori based on intestinal microecology:research progress
Helicobacter Pylori(H.pylori)is a microaerobic Gram-negative bacterium that colonizes the epithelial surface of the gastric mucosa and can induce a variety of gastrointestinal diseases.More than 50%of the world's population infec-ted with H.pylori.In the complicated and huge intestinal micro-ecosystem of the human body,H.pylori infection can cause changes in the composition of intestinal flora.H.pylori eradication therapy can also lead to changes in the diversity and structure of intestinal microbial population,but the underlying mechanisms remain unclear.In recent years,traditional Chinese medicine(TCM)has been considered one of the new pathways for H.pylori treatment,and the combined applica-tion of TCM during H.pylori eradication therapy can increase the eradication rate,improve intestinal flora disorders,and reduce the occurrence of antibiotic-related adverse effects.However,the study on its regulatory effect on intestinal flora is only in its infancy,and its effect on intestinal flora homeostasis and the mechanism still need to be explored in the future.Therefore,we made some discussions and offered some prospects on the contents mentioned above to provide new ideas for the clinical research.

Helicobacter pyloriIntestinal microecologyTraditional Chinese medicine

朱泠霏、贾梦迪、张晨晨、张声生

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首都医科大学附属北京中医医院消化中心,北京 100010

幽门螺杆菌 肠道微生态 中医药

北京市属医院科研培育计划项目

PZ2022017

2024

中国微生态学杂志
中华预防医学会 大连医科大学

中国微生态学杂志

CSTPCD北大核心
影响因子:1.115
ISSN:1005-376X
年,卷(期):2024.36(9)