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基于随机对照试验的一项关于益生菌对血压影响的Meta分析OA

A Meta-analysis of the effects of probiotics on blood pressure based on randomized controlled trials

中文摘要英文摘要

目的 系统评价益生菌制剂与血压的关系.方法 检索PubMed(MEDLINE)、Embase、Web of Science、Cochrane Library、中国知网、万方数据知识服务平台,搜集包含益生菌制剂与血压关系的随机对照研究,检索时限为建库至2026年2月1日.由2位研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险,采用RevMan 5.4.1软件进行Meta分析.结果 共纳入23篇文献.Meta分析结果显示与对照组比较,使用益生菌制剂可显著降低患者的舒张压.亚组分析结果显示干预时间是否≥8周可能是异质性来源,而是否为单一菌种、是否为高血压病人群不是异质性的影响因素.结论 益生菌干预对控制血压特别是舒张压具有积极作用.受纳入研究数量和质量限制,上述结论尚需开展更多高质量研究予以验证.

Objective To systematically review the relationship between probiotics and blood pressure.Methods The PubMed(MEDLINE),Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform were searched to collect randomized controlled trials included the relationship between probiotics and blood pressure,with the search period ranging from database establishment to February 1,2026.Two researchers independently screened the literature,extracted data,and assessed the risk of bias in the included studies,followed by a Meta-analysis using RevMan 5.4.1 software.Results A total of 23 articles were included.Meta-analysis results showed that using probiotics preparations can significantly reduce diastolic pressure compared with control group.Subgroup analysis showed that whether the intervention duration was greater than or equal to 8 weeks might be a source of heterogeneity,while whether it was a single strain or whether it is a hypertensive population are not a factor affecting heterogeneity.Conclusion Probiotics intervention has a positive effect on controlling blood pressure,especially diastolic blood pressure.Due to the limitations in the number and quality of included studies,the above conclusions still need to be verified by more high-quality research.

赵栩进;王云俊;郭冬娜

山西医科大学第一医院急诊医学中心,山西 太原 030001山西医科大学第一医院急诊医学中心,山西 太原 030001山西医科大学第一医院急诊医学中心,山西 太原 030001

医药卫生

高血压肠道微生态益生菌

HypertensionGut microecologyProbiotics

《中国现代医生》 2026 (24)

24-34,43,12

10.3969/j.issn.1673-9701.2026.24.006

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