影响新生儿肠道微生物群和健康的因素,重点关注死性肠球炎
Kay D Beharry1, Magdalena Latkowska1, Arwin M Valencia2
1Department of Pediatrics, Division of Neonatal-Perinatal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, NY 11203, USA.
新生儿肠道微生物组的发展对于早产婴儿的健康至关重要. 失生症或微生物组不平衡与死性肠球炎 (NEC) 有关,这是早产婴儿的严重疾病.
科学领域:
- 新生儿肠道微生物组研究
- 在早产婴儿的胃肠道疾病.
- 微生物组与宿主之间的相互作用
背景情况:
- 在出生后,肠道的成熟仍在继续,完全的微生物群的发展需要数年时间.
- 新生儿肠道微生物组失调与疾病和干预有关.
- 过早出生的婴儿 (<28周妊娠期) 经常出现呼吸暂停和间歇性缺氧 (IH).
研究的目的:
- 审查影响新生儿肠道微生物群发育和失生症的因素.
- 探索早产婴儿的失生症和死性肠球炎 (NEC) 之间的联系.
- 讨论NEC预防和微生物群健康的当前和未来疗法.
主要方法:
- 对影响新生儿肠道微生物组的因素的文献综述.
- 分析dysbiosis,IH和NEC之间的关系.
- 对NEC和肠道健康的现有和新兴治疗策略的综合.
主要成果:
- 在早产婴儿中,慢性间歇性缺氧 (IH) 可以导致氧基疾病,如NEC.
- NEC的特点是肠道结构不成熟,失生症,炎症和粘膜缩.
- 失生症是导致早产婴儿罹患NEC的一个关键因素.
结论:
- 了解影响新生儿肠道微生物群的因素对于预防NEC至关重要.
- 包括母乳,益生菌,益生菌,共生菌,限制性抗生素和便移植在内的疗法显示出有前途.
- 补充抗氧化剂可能有助于预防和管理NEC.
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