肠道微生物群,肝脏疾病和术后麻醉:相互作用,风险和治疗机会
1Department of Anesthesiology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Frontiers in cellular and infection microbiology
|February 9, 2026
概括
肠道微生物群影响肝脏健康和麻醉风险. 针对肠道微生物组的策略可能会改善肝病患者的外科治疗结果.
科学领域:
- 胃肠病学和肝病学
- 麻醉学 麻醉学
- 微生物组研究 微生物组研究
背景情况:
- 全球肝脏疾病的患病率正在上升,使麻醉和手术复杂化.
- 肠道微生物组显著影响肝炎,新陈代谢和免疫功能.
- 微生物失生症与脂肪性肝病,与酒精有关的肝损伤和肝硬化等肝病有关.
研究的目的:
- 为了审查肠-肝-麻醉轴的概念.
- 将微生物失调,肝脏脆弱性和麻醉剂暴露整合到外科手术风险模型中.
- 探索以微生物为中心的策略,以改善肝病患者的外科治疗结果.
主要方法:
- 对肠-肝-麻醉轴的文献综述.
- 分析肠道微生物在肝炎和外科手术期间风险中的作用.
- 对麻醉剂对肠道微生物群的影响和反之证据的综合分析.
主要成果:
- 晚期肝病与微生物多样性减少,肠道屏障受损和全身炎症有关.
- 这些肠道变化增加了手术前并发症,包括感染,损伤和神经认知问题.
- 麻醉剂可以破坏肠道生态系统,而微生物组会影响药物代谢,导致不可预测的反应.
结论:
- 肠-肝-麻醉轴突出了肠道微生物群,肝脏健康和麻醉结果的相互联系.
- 专注于微生物组的外科手术期间的干预措施有望改善患者的康复.
- 诸如益生菌,阿片类药物节约麻醉和早期肠道养等策略可能会改善接受手术的肝病患者的结果.
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