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中国精品科技期刊2020
薛超辉, 张兰威, 王淑梅, 李洪波. 益生菌预防与治疗艰难梭菌腹泻的研究进展[J]. 华体会体育, 2013, (22): 358-362. DOI: 10.13386/j.issn1002-0306.2013.22.090
引用本文: 薛超辉, 张兰威, 王淑梅, 李洪波. 益生菌预防与治疗艰难梭菌腹泻的研究进展[J]. 华体会体育, 2013, (22): 358-362. DOI: 10.13386/j.issn1002-0306.2013.22.090
XUE Chao-hui, ZHANG Lan-wei, WANG Shu-mei, LI Hong-bo. Research progress in probiotics for the prevention and treament of Clostridium difficile-associated diarrhoea[J]. Science and Technology of Food Industry, 2013, (22): 358-362. DOI: 10.13386/j.issn1002-0306.2013.22.090
Citation: XUE Chao-hui, ZHANG Lan-wei, WANG Shu-mei, LI Hong-bo. Research progress in probiotics for the prevention and treament of Clostridium difficile-associated diarrhoea[J]. Science and Technology of Food Industry, 2013, (22): 358-362. DOI: 10.13386/j.issn1002-0306.2013.22.090

益生菌预防与治疗艰难梭菌腹泻的研究进展

Research progress in probiotics for the prevention and treament of Clostridium difficile-associated diarrhoea

  • 摘要: 近二十年来随着抗生素的广泛应用,艰难梭菌引起腹泻(CDAC)的发病率和死亡率都在不断地提高。当病人服用抗生素后肠道菌群遭到了严重破坏,不能有效地抑制艰难梭菌在肠道的生长和定植,从而引起腹泻。目前药物治疗艰难梭菌腹泻常用的药物为甲硝唑和万古霉素,但由于长期药物治疗会引起耐药性,而且经常发生复发情况,益生菌通过增强肠道菌群治疗或者配合药物治疗成为一种经济有效的方法。目前公认的益生菌抑制艰难梭菌腹泻的机理有:抑制艰难梭菌生长;抑制艰难梭菌粘附;刺激免疫系统。本文介绍了艰难梭菌腹泻的发病机理和流行病学研究以及益生菌配合药物使用在治疗艰难梭菌腹泻中的作用,重点介绍了益生菌抑制艰难梭菌腹泻的作用途径和机理。 

     

    Abstract: With the increasing use of broad-spectrum antibiotics over the past two decades, the proportion and severity of Clostridium difficile-associated diarrhoea (CDAD) is increasing in health-care settings. Antibiotics remain the most important risk factor for CDAD, due to their limiting the ability of the gastrointestinal flora to inhibit C.difficile colonization. The antibiotics metronidazole and vancomycin have been showed to be effective in the treatment of CDAD. Despite appropriate antibiotic treatment, lots of patients with CDAD will experience disease recurrence. The use of probiotic bacteria to enhance the host flora, as either primary or secondary prophylaxis will be an effective. The currently accepted mechanism of inhibition of CDAD was as follows:inhibit of the growth of C.difficile, inhibit of the adhesion of C.difficile, stimulate the immune system. The diarrhea pathogenesis and epidemiological studies of C.difficile, as well as probiotics as the drug used in the treatment of CDAC, mechanism of probiotics inhibit the CDAC were described in this article.

     

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