不同肠道清洁剂在结肠镜检查后对肠道微生物群的影响和不良反应
Jiabin Hu1,2,3, Xiongqun Peng4, Shuang Cai2,5
1Department of Geriatrics, Chinese PLA General Hospital, The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Beijing, China.
概括
肠道准备进行结肠镜检查可以改变肠道微生物群平衡. 本综述分析了不同药如何影响肠道细菌和潜在的副作用,帮助临床选择以获得更好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 微生物学 微生物学
- 临床医学 临床医学
背景情况:
- 结肠镜检查对于检测结肠直肠疾病,如多和癌症至关重要.
- 有效的肠道准备对于结肠镜质量至关重要,但可能会破坏肠道微生物群.
- 有限的研究存在于各种药对肠道微生物群的具体影响.
研究的目的:
- 分析不同肠道制剂对肠道微生物群的影响.
- 总结与结肠镜肠道清洁相关的潜在不良反应.
- 为选择适当的肠道制剂提供临床参考.
主要方法:
- 文献综述和对肠道制剂和肠道微生物群的现有研究进行分析.
- 检查各种药 (如聚乙烯糖醇,比萨科迪尔,酸盐) 作用的数据.
- 评估报告的不良事件及其与特定肠道制备剂的相关性.
主要成果:
- 不同的药对肠道微生物群的组成和多样性产生不同的影响.
- 一些肠道制剂与比其他更重要的微生物干扰有关.
- 潜在的不良反应包括电解质失衡和胃肠道不适,受制剂类型的影响.
结论:
- 肠道制备显著影响肠道微生物群,影响因使用的药物而异.
- 了解这些影响对于尽量减少不良反应和优化结肠镜检查质量至关重要.
- 充分了解肠道制剂的选择可以改善患者的耐受性和肠道健康后手术.
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