洗后的微生物移植改善了功能性肠道障碍患者的症状和肠道屏障功能:一种倾向性比分匹配分析
Xiao-Yan Ye1,2, Jun-Yi Chen1,2, Li-Hao Wu1,2
1Department of Gastroenterology, The First Affiliated Hospital of Guangdong Pharmaceutical University, 19 Nonglinxia Road, Yuexiu District, 510030, Guangzhou, Guangdong Province, China.
BMC gastroenterology
|January 23, 2024
概括
与益生菌相比,洗微生物种移植 (WMT) 显著改善了功能性肠道障碍 (FBD) 症状和肠道屏障功能. 升高的D-乳酸盐水平可能预测FBD患者对WMT的积极反应.
科学领域:
- 胃肠病学 胃肠病学
- 微生物组研究的研究.
- 临床试验分析临床试验分析
背景情况:
- 肠道微生物群的改变与功能性肠道疾病 (FBD) 有关.
- 益生菌通常用于FBD的失生症.
- 洗微生物群移植 (WMT) 为FBDs提供了一个潜在的治疗方法.
研究的目的:
- 为了比较WMT与益生菌在治疗FBD治疗中的疗效.
- 评估对肠道屏障功能和症状的影响.
- 通过倾向性得分匹配分析 (PSMA) 识别治疗反应的预后因素.
主要方法:
- 对103名FBD患者 (IBS,FC,FDr,FAB) 的回顾性分析.
- 患者被分为WMT或益生菌手臂.
- 根据临床和生化参数,PSMA对参与者进行了匹配;肠壁功能 (IBF) 和症状在治疗前和后被评估.
主要成果:
- 与益生菌相比,WMT在FBD症状中表现出更好的改善 (P=0.002).
- 在WMT组中,较少的患者表现出肠道屏障损伤 (38.2%对67.6%,P=0.041).
- WMT导致D-乳酸盐水平显著降低 (P=0.031),这是FBD的预后因素.
结论:
- 在改善FBD症状和肠道屏障功能方面,WMT有效.
- 在FBD患者中,D-乳酸盐水平升高可能表明对WMT的良好反应.
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