首页|肾虚血瘀型不明原因复发性流产肠道菌群特征观察及证型相关分析

肾虚血瘀型不明原因复发性流产肠道菌群特征观察及证型相关分析

扫码查看
目的 观察肾虚血瘀型不明原因复发性流产(unexplained recurrent spontaneous abortion,URSA)患者未孕状态下肠道微生态特点及与正常女性粪便中肠道菌群的差异;探讨URSA肾虚血瘀型与肠道菌群是否存在一定的相关性。方法 收集2020年9月—2021年1月就诊于黑龙江中医药大学附属第一医院妇科门诊和住院部的患者作为研究对象:试验组(30例)为URSA肾虚血瘀型未孕患者、对照组(40例)为正常未孕女性。收集基本信息、中医证候等资料,采集粪便标本,通过高通量测序方法检测肠道菌群,并对其进行定性、定量分析。结果 URSA肾虚血瘀型患者与正常女性肠道菌群的物种组成、丰度,Alpha、Beta多样性存在差异。URSA患者年龄与粪球菌、梭状杆菌、厌氧菌、双歧杆菌成正相关;流产次数与罗氏菌属、丹毒丝菌科正相关,与真杆菌属负相关;中医证候积分与粪球菌属呈正相关,与巨球型菌属、卡氏伯克霍氏菌、毛螺菌属呈负相关;变形杆菌门在URSA肾虚细化证型中存在显著差异。结论 URSA肾虚血瘀型患者与正常女性肠道优势菌群的丰度比例存在差异,造成差异的主要贡献菌群不同。
Characteristics of Intestinal Flora in URSA Patients with Kidney Deficiency and Blood Stasis and Its Correlation with Clinical Symptoms
Objective To observe the characteristics of intestinal microecology of unexplained recurrent spontaneous abortion(URSA)patients with kidney deficiency and blood stasis in non pregnant state and the difference of intestinal flora between UR-SA patients with kidney deficiency and blood stasis and normal women.To explore whether there is a certain correlation between URSA kidney deficiency and blood stasis syndrome and intestinal flora.Method The patients who visited the gynecology clinic and inpatient department of the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from Septem-ber 2020 to January 2021 were collected as the research objects.The experimental group(30 cases)were non pregnant patients with URSA kidney deficiency and blood stasis type and the control group(40 cases)were normal non pregnant women.The basic information of subjects,TCM syndromes and other data were collected.The fecal samples were collected.The intestinal flora was detected by high-throughput sequencing and the qualitative and quantitative analysis was conducted.Results There were differ-ences in species composition,abundance,alpha and beta diversity between URSA patients with kidney deficiency and blood stasis and normal women.The age of URSA patients was positively correlated with Fecococcus,Clostridium,Anaerobic Bacteria and Bifidobacterium.The number of abortions was positively correlated with Roseburia and Erysipelothrichaceae,and negatively corre-lated with Eubacterium.TCM syndrome score was positively correlated with Fecococcus,and negatively correlated with Macro-globulus,Burkholderia karenii and Spirillum.The difference of Proteus in URSA kidney deficiency syndrome was statistically sig-nificant.Conclusion There is a difference in the abundance ratio of dominant gut microbiota between URSA patients with kidney deficiency and blood stasis type and normal women,and the main contributing bacteria to the difference are different.

recurrent spontaneous abortionkidney deficiency and blood stasis syndromeintestinal florarelevance

冯晓玲、王士萌、涂许许、陈璐

展开 >

黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

黑龙江中医药大学,黑龙江哈尔滨 150040

复发性流产 肾虚血瘀型 肠道菌群 相关性

国家自然科学基金面上项目黑龙江省高等学校青年创新人才培养计划项目

81973894UNPYSCT-2020234

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(2)
  • 25