肠道微生物群干预对精神分裂症患者的影响:系统性审查和元分析
Nianhua Ye1, Xin Song1, Jing Yu2
1College of Traditional Chinese Medicine, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, China.
Frontiers in microbiology
|November 24, 2025
概括
益生菌干预有望改善精神分裂症症状和代谢健康. 然而,需要更多的研究来证实它们的有效性和在精神分裂症治疗中最佳的使用.
科学领域:
- 精神病学是一个精神病学.
- 微生物学 微生物学
- 代谢健康 代谢健康
背景情况:
- 精神分裂症 (SCH) 是一种慢性精神疾病,影响思想,情绪,感知和行为.
- 肠道微生物群干预正在探索SCH治疗,但最佳策略仍然不清楚.
研究的目的:
- 系统地审查和元分析对精神分裂症肠道微生物群干预的随机对照试验 (RCT).
- 评估这些干预措施对精神病理和代谢结果的有效性.
主要方法:
- 搜索了四个数据库,查找到2024年12月的RCT.
- 包括10个RCT与585名参与者.
- 使用RoB 2.0评估偏差风险,并使用RevMan5.4.4进行元分析.
主要成果:
- 益生菌干预显著降低了整体阳性和阴性综合征量表 (PANSS) 的得分 (p=0.001).
- 在空腹血糖,甘油三,总胆固醇,HOMA-IR和QUICKI (所有p<0.05) 中观察到显著改善.
- 对HDL,LDL,体重,BMI或胰岛素水平没有显著影响.
结论:
- 辅助益生菌干预可以使精神分裂症患者受益,改善精神病理,代谢和生理方面的情况.
- 目前的证据受到小样本大小和研究变异的限制; 目前还不能做出明确的建议.
- 需要进一步的大规模,严格的RCT来确定SCH中益生菌补充剂的疗效和最佳方案.
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