中国医学前沿杂志(电子版)2024,Vol.16Issue(12) :46-54.DOI:10.12037/YXQY.2024.12-07

肠道菌群在脓毒症相关性脑病发病与治疗作用中的研究进展

Research progress on the role of gut microbiota in the pathogenesis and treatment of sepsis associated encephalopathy

李艺豪 李玉静 陈帅 王红宇
中国医学前沿杂志(电子版)2024,Vol.16Issue(12) :46-54.DOI:10.12037/YXQY.2024.12-07

肠道菌群在脓毒症相关性脑病发病与治疗作用中的研究进展

Research progress on the role of gut microbiota in the pathogenesis and treatment of sepsis associated encephalopathy

李艺豪 1李玉静 1陈帅 1王红宇1
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作者信息

  • 1. 河南中医药大学第五临床医学院郑州人民医院重症医学科,河南郑州 450000
  • 折叠

摘要

脓毒症相关性脑病(sepsis associated encephalopathy,SAE)是继发于脓毒症的一种严重疾病,可增加脓毒症患者的死亡率,且可导致长期的神经功能损害,临床上尚缺乏有效的治疗方法.肠道菌群是指在宿主肠道中定植的大量的、多样的微生物菌群,它们与宿主形成复杂的共生关系.近年来众多研究发现肠道菌群失调与中枢神经系统关系密切,可通过微生物-肠-脑轴(microbiota-gut-brain axis,MBGA)对神经功能产生影响.且临床研究发现脓毒症患者肠道菌群也会发生改变,因此,脓毒症期间肠道菌群及其在SAE发病和治疗中的作用备受关注.本文综述了近年来国内外相关研究进展,旨在为SAE的发病和治疗提供新的研究视角.

Abstract

Sepsis correlation encephalopathy (SAE)is a severe disease secondary to sepsis,which can increase the mortality of sepsis patients,and can lead to long-term neurological damage,and there is still a lack of effective clinical treatment methods.Gut microbiota refers to the large number of engraftment in the host intestine and diversity of microbial flora,and they form a complex symbiotic relationship with the host.In recent years,many studies have found that intestinal flora imbalance is closely related to the central nervous system,which can affect nervous function through the microbiota-gut-brain axis(MBGA).Moreover,clinical studies have found that the gut microbiota of patients with sepsis also changed.Therefore,the gut microbiota during sepsis and its role in the pathogenesis and treatment of SAE have attracted much attention.This paper reviews the related research progress at home and abroad in recent years,willing to provide a new perspective for the pathogenesis and treatment of SAE perspective.

关键词

脓毒症相关性脑病/肠道菌群/神经炎症/粪菌移植/短链脂肪酸/益生菌

Key words

Sepsis associated encephalopathy/Gut microbiota/Neuroinflammation/Fecal microbiota transplantation/Short-chain fatty acids/Probiotics

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出版年

2024
中国医学前沿杂志(电子版)
人民卫生出版社有限公司

中国医学前沿杂志(电子版)

CSTPCDCSCD北大核心
影响因子:1.088
ISSN:1674-7372
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