首页|益生菌制剂对高脂血症患者肠道微生态的临床研究

益生菌制剂对高脂血症患者肠道微生态的临床研究

扫码查看
目的:研究益生菌制剂对高脂血症患者肠道微生态的影响.方法:选取 2021 年 7 月—2023 年 7 月福建医科大学附属南平第一医院收治的 80 例高脂血症患者作为研究对象.以电脑系统随机法将其分为益生菌制剂组(n=40)及瑞舒伐他汀组(n=40).瑞舒伐他汀组予以瑞舒伐他汀治疗,益生菌制剂组则予以瑞舒伐他汀组的基础上增用益生菌制剂治疗.比较两组治疗前后血脂指标水平,肠道微生态变化情况及心血管疾病发生情况.此外,以Pearson相关性分析明确高脂血症患者血脂指标水平与肠道菌群含量的关系.结果:治疗后,两组甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白B、脂蛋白a水平均低于治疗前,且益生菌制剂组低于瑞舒伐他汀组,差异有统计学意义(P<0.05);治疗后;两组高密度脂蛋白胆固醇(HDL-C)水平均高于治疗前,且益生菌制剂组高于瑞舒伐他汀组,差异有统计学意义(P<0.05).治疗后两组肠道双歧杆菌、乳酸杆菌、大肠埃希菌以及粪肠球菌含量均高于治疗前,且益生菌制剂组高于瑞舒伐他汀组,差异有统计学意义(P<0.05).两组心血管疾病发生率比较,差异无统计学意义(P>0.05).经Pearson相关性分析证实,高脂血症患者肠道双歧杆菌、乳酸杆菌、大肠埃希菌、粪肠球菌含量与TG、TC、LDL-C、载脂蛋白B、脂蛋白a水平均呈正相关关系,而与HDL-C水平呈负相关关系,差异有统计学意义(P<0.05).结论:益生菌制剂的应用可有效改善高脂血症患者血脂水平以及肠道微生态.
Clinical Study of Probiotics on Intestinal Microecology in Patients with Hyperlipidemia
Objective:A total of 80 patients with hyperlipidemia admitted to Nanping First Hospital Affiliated to Fujian Medical University from July 2021 to July 2023 were selected for the experiment.They were divided into probiotics group(n=40)and rosuvastatin group(n=40)by computer system randomization.The rosuvastatin group was treated with rosuvastatin,and the probiotic group was treated with probiotics on the basis of the rosuvastatin group.The levels of blood lipids,changes of intestinal microecology and incidence of cardiovascular diseases were compared between the two groups before and after treatment.In addition,Pearson correlation analysis was used to determine the relationship between the level of lipid indexes and the content of intestinal flora in patients with hyperlipidemia.Result:After treatment,the levels of triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),apolipoprotein B and lipoprotein a in both groups were lower than before treatment,and the probiotic preparation group was lower than rosuvastatin group,with statistical significance(P<0.05).After treatment the high density lipoprotein cholesterol(HDL-C)level was higher than before treatment,and the probiotic preparation group was higher than rosuvastatin group,with statistical significance(P<0.05).After treatment,the contents of Intestinal bifidobacterium,Lactobacillus,Escherichia coli and Enterococcus faecalis in 2 groups were higher than before treatment,and the probiotic preparation group was higher than rosuvastatin group,with statistical significance(P<0.05).There was no significant difference in the comparison of cardiovascular diseases between the two groups(P>0.05).According to Pearson correlation analysis,the contents of intestinal bifidobacterium,lactobacillus,Escherichia coli and Enterococcus faecalis in hyperlipidemia patients were positively correlated with the levels of TG,TC,LDL-C,apolipoprotein B and lipoprotein a,while negatively correlated with the levels of HDL-C,with statistical significance(P<0.05).Conclusion:The application of probiotics can effectively improve the level of blood lipids and intestinal microecology in patients with hyperlipidemia.

HyperlipidemiaProbioticsRosuvastatinIntestinal microecologyCardiovascular disease

陈义兴、罗顺祥、陈大楸、吴峰、宋启翔、叶涛、叶贤华、徐尚华

展开 >

福建医科大学附属南平第一医院 福建 南平 353000

高脂血症 益生菌制剂 瑞舒伐他汀 肠道微生态 心血管疾病

2020年福建省卫生健康青年科研课题项目福建医科大学启航基金项目

2020QNA0882019QH1234

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(27)