益生菌可以减轻儿童心肺旁路引起的肠损伤
Daisuke Toritsuka1, Masaya Aoki1, Akihiko Higashida2
1Department of Cardiovascular Surgery, Graduate School of Medicine, University of Toyama, Toyama, Japan.
概括
益生菌在心肺旁路术后纠正了肠道失调,但没有防止肠道损伤. 需要进一步的研究,以有效干预心脏手术诱导的肠道障碍.
科学领域:
- 胃肠病学 胃肠病学
- 心脏病学 心脏病学
- 微生物学 微生物学
背景情况:
- 心肺旁路 (CPB) 可以诱导肠道缺血-再输损伤,导致屏障功能障碍,失生症和细菌转移.
- 了解这些影响对于治疗接受心脏手术的患者至关重要.
研究的目的:
- 为了调查表皮屏障功能障碍和细菌转移后CPB.
- 评估益生菌对CPB诱导的肠道微生物群变化和相关条件的影响.
主要方法:
- 一项随机前性研究,涉及82名儿童患者 (0-15岁) 接受心脏手术与CPB.
- 患者被分配给接受益生菌 (干预) 或不接受益生菌 (控制).
- 分析包括便和血液微生物群,有机酸,肠道脂肪酸结合蛋白和免疫反应.
主要成果:
- 益生菌增加了强制性无气体,并在CPB后 (7天后) 纠正了失活性.
- 在细菌转移,肠道损伤标志物 (肠道脂肪酸结合蛋白) 或大多数免疫反应方面,没有观察到群体之间的显著差异.
- 益生菌没有足够缓解由CPB引起的肠损伤.
结论:
- 益生菌可以调节肠道微生物群,使其在CPB后变得不那么失生态.
- 目前的益生菌管理不足以预防或减轻CPB引起的肠损伤.
- 需要新的策略来预防与心脏手术和CPB相关的肠道障碍.
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