中医药调控肠道菌群干预脓毒症的研究进展OA
Research Progress on Intervention of Intestinal Flora in Sepsis by Traditional Chinese Medicine
脓毒症是患者发生感染后引起的一种全身反应综合征,该病发病机制复杂,由多种因素共同致病,肠道菌群亦是其关键致病因素之一.研究表明,肠道菌群可通过调控肠上皮细胞的免疫及炎性应答,促进肠道黏膜屏障修复,在脓毒症的病理过程中发挥关键作用.目前西医治疗该病具有疗效显著、起效速度快等优势,但同时也伴随着预后不良、费用高昂等问题,给患者的身心带来沉重负担.因此,探索疗效显著且经济负担轻的治疗新策略是当前脓毒症治疗的重点.近年来研究表明,中医药可通过调节肠道菌群,减轻炎性反应,有效改善脓毒症病情.然而,其具体作用机制尚未完全阐明.因此,该文基于国内外脓毒症相关研究,从肠道菌群与脓毒症的关联出发,系统综述中药通过调控肠道菌群防治脓毒症的疗效,以期为临床提供新思路.
Sepsis is a set of systemic reaction syndromes resulting from infection in patients.The pathogenesis of this disease is intricate and is jointly caused by numerous factors,among which the intestinal flora also plays a crucial role.Studies have demonstrated that the intestinal flora can play a pivotal role in the pathological process of sepsis by regulating the immune and in-flammatory responses of intestinal epithelial cells and facilitating the recovery of the intestinal mucosal barrier.Currently,West-ern medicine possesses the advantages of remarkable therapeutic effect and rapid onset;however,it is concurrently accompanied by poor prognosis and high cost,imposing a heavy burden on patients'physical and mental health.Therefore,exploring new schemes with significant curative effect and low cost is the focus of the current treatment of sepsis.In recent years,a considerable number of studies have affirmed that traditional Chinese medicine can mitigate inflammation and effectively ameliorate the devel-opment of sepsis by regulating the intestinal flora.Nevertheless,up to now,there is a dearth of research on the mechanism of tra-ditional Chinese medicine regulating the intestinal flora in the prevention and treatment of sepsis.Hence,through the research on sepsis both domestically and internationally,starting from the connection between the intestinal flora and sepsis,this paper sys-tematically examines the efficacy of traditional Chinese medicine in preventing and treating sepsis,providing novel ideas for the clinical prevention and treatment of sepsis.
钱锦程;曾耀萱;彭金婵;谢胜
广西中医药大学,广西 南宁 530001广西中医药大学,广西 南宁 530001广西中医药大学,广西 南宁 530001广西中医药大学第一附属医院,广西 南宁 530001
医药卫生
脓毒症肠道菌群中医药综述
SepsisIntestinal floraTraditional Chinese medicineSummary
《实用中医内科杂志》 2026 (4)
122-127,6
广西壮族自治区科技攻关计划项目(MR-45-25-034684)
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