用于诱导和维持性结肠炎缓解的益生菌
Vassiliki Sinopoulou1, Morris Gordon1, Vicki Gregory2
1School of Medicine, University of Central Lancashire, Preston, UK.
这次审查发现,没有足够的证据来得出结论关于治疗性结肠炎 (UC) 益生菌的疗效,缓解诱导或维持缓解. 虽然益生菌在复发方面可能与安慰剂没有差异,但它们可能会增加不良事件,但证据的确定性很低.
科学领域:
- 胃肠病学 胃肠病学
- 微生物组研究 微生物组研究
- 临床营养学 临床营养学
背景情况:
- 性结肠炎 (UC) 患者寻求饮食疗法来改善生活质量.
- 益生菌正在研究它们对调节肠道细菌和有益于胃肠道健康的潜力.
研究的目的:
- 评估益生菌干预措施的有效性和安全性,以诱导和维持活跃UC患者的缓解.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了多个数据库,包括CENTRAL,MEDLINE,Embase和临床试验.gov.gov.
- 包括9个RCT与445名成年参与者,评估各种益生菌干预措施对照组.
主要成果:
- 有限的证据表明,在UC缓解诱导或维持中,益生菌有效性有限.
- 一项研究表明,与安慰剂相比,益生菌可能会增加缓解维持的不良事件 (低确定性证据).
- 非常低的确定性证据阻止了大多数其他结果的结论,包括临床缓解,改善和特定生物标志物.
结论:
- 目前的证据不足以支持在UC缓解中使用益生菌.
- 高异质性和很低的证据确定性限制了最终的结论和建议.
- 需要使用标准化的方法进行进一步的研究,以澄清益生菌在UC管理中的作用.
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