在慢性鼻炎的过程中,共生菌对细菌菌群的影响
Karolina Goroszkiewicz1, Grażyna Lisowska2, Grażyna Stryjewska-Makuch1
1Department of Laryngology and Laryngological Oncology, Leszek Giec Upper-Silesian Medical Centre of the Silesian Medical University, 40-635 Katowice, Poland.
Medicina (Kaunas, Lithuania)
|July 30, 2025
概括
口服共生补充剂可能有助于减少慢性鼻炎 (CRS) 患者的致病细菌,这些患者正在接受内镜性鼻手术 (ESS). 这种方法可能会减少对术后抗生素的需求.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 慢性鼻炎 (CRS) 与微生物失衡 (疾病) 有关.
- 协生菌 (益生菌+益生菌) 在调节微生物群和免疫反应方面表现出潜力.
- 这项研究调查了共生菌对接受手术的CRS患者的鼻微生物群的影响.
研究的目的:
- 评估口服共生补充剂对鼻微生物群组成的影响.
- 评估共生菌在内镜鼻手术 (ESS) 后对致病性细菌殖民的影响.
- 确定协生菌是否减少了CRS患者手术后抗生素治疗的需要.
主要方法:
- 一项多中心回顾性研究,涉及425名接受ESS的成年CRS患者.
- 干预组在外科手术期间接受了6-8周的共生菌;对照组没有.
- 分析了细菌学样本,并进行了群体之间的统计比较.
主要成果:
- 协生菌的使用在ESS后显著减少了致病性细菌殖民地.
- 凝聚酶负型葡萄球菌在协生组中更频繁.
- 同生菌组所需的术后抗生素治疗显著减少 (p < 0.05).
- 这两组在ESS后都显示了格兰阳性菌群的增加和格兰阴性细菌的减少.
结论:
- 同生菌补充剂可能会积极改变鼻微生物群,并在ESS后减少致病细菌.
- 协生菌作为CRS的辅助疗法表现有前途.
- 研究结果表明,共生菌可能会减少在CRS管理中对术后抗生素的依赖.
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