Page 77 - 《中国药房》2024年13期
P. 77
综上所述,痛泻要方能通过改变肠道菌群物种组 Tongxie yaofang in treating IBS-D rats with syndrome of
成,降低血清LPS浓度和抑制ENS过表达CSF1蛋白,减 stagnation of liver qi and spleen deficiency[J]. China J
轻肠道炎症,从而恢复 MM 中 BMP2 蛋白的正常表达, Tradit Chin Med Pharm,2018,33(10):4341-4346.
减轻结肠运动功能亢进,即通过调节肠道菌群来调控肠 [ 8 ] 赵迎盼,唐旭东,卞兆祥,等 . IBS-D 肝郁脾虚型病证症
道菌群-ENS-MM串扰关键蛋白BMP2、CSF1的表达,从 结合大鼠模型的建立与评价的初步研究[J]. 中国中西医
而发挥减轻 IBS-D 大鼠结肠运动亢进的作用。但肠道 结合杂志,2013,33(11):1507-1514.
菌群-ENS-MM 串扰受许多因素影响,需进一步探讨 ZHAO Y P,TANG X D,BIAN Z X,et al. Preliminary
study of establishing and assessing IBS-D model rats of
MM的表型变化、肠道菌群其他代谢物的动态变化以及
gan stagnation and pi deficiency syndrome[J]. Chin J In‐
肠神经元兴奋性改变等机制在痛泻要方治疗 IBS-D 中
tegr Tradit West Med,2013,33(11):1507-1514.
的作用。 [ 9 ] AL-CHAER E D,KAWASAKI M,PASRICHA P J. A
参考文献 new model of chronic visceral hypersensitivity in adult
[ 1 ] SPERBER A D,DUMITRASCU D,FUKUDO S,et al. rats induced by colon irritation during postnatal develop‐
The global prevalence of IBS in adults remains elusive ment[J]. Gastroenterology,2000,119(5):1276-1285.
due to the heterogeneity of studies:a Rome foundation [10] LI Y F,GONG X L,CHEN S X,et al. Deviations in the
working team literature review[J]. Gut,2017,66(6): gut microbiota of neonates affected by maternal group B
1075-1082. Streptococcus colonization[J]. BMC Microbiol,2021,21
[ 2 ] 熊理守,陈旻湖,陈惠新,等. 社区人群中肠易激综合征 (1):140.
的症状学特征[J]. 胃肠病学,2004,9(5):277-279. [11] 程健,余莹,何君君. 腹泻型肠易激综合征中医“肝郁脾
XIONG L S,CHEN M H,CHEN H X,et al. Symptomato‐ 虚” 本质的探讨与思考[J]. 中华中医药杂志,2020,35
logic characteristics of irritable bowel syndrome in com‐ (11):5698-5703.
munity population[J]. Chin J Gastroenterol,2004,9(5): CHENG J,YU Y,HE J J. Discussion and consideration
277-279. on the essence of ‘stagnation of liver qi and spleen defi‐
[ 3 ] 中华医学会消化病学分会胃肠功能性疾病协作组,中华 ciency’ in diarrhea-predominant irritable bowel syndrome
医学会消化病学分会胃肠动力学组 . 2020 年中国肠易 [J]. China J Tradit Chin Med Pharm,2020,35(11):5698-
激综合征专家共识意见[J]. 中华消化杂志,2020,40 5703.
(12):803-818. [12] STAUDACHER H M,WHELAN K. Altered gastrointesti‐
Collaborative Group of Gastrointestinal Functional Di- nal microbiota in irritable bowel syndrome and its modifi‐
seases,Chinese Society of Gastroenterology, Gastrointes‐ cation by diet:probiotics,prebiotics and the low
tinal Dynamics Group,Chinese Society of Gastroentero- FODMAP diet[J]. Proc Nutr Soc,2016,75(3):306-318.
logy. Chinese expert consensus of irritable bowel syn‐ [13] FURNESS J B. The enteric nervous system and neuroga-
drome in 2020[J]. Chin J Dig,2020,6(12):803-818. stroenterology[J]. Nat Rev Gastroenterol Hepatol,2012,9
[ 4 ] MULLER P A,KOSCSÓ B,RAJANI G M,et al. Cross‐ (5):286-294.
talk between muscularis macrophages and enteric neurons [14] REGO S L,RAGHAVAN S,ZAKHEM E,et al. Enteric
regulates gastrointestinal motility[J]. Cell,2014,158(5): neural differentiation in innervated,physiologically func‐
1210. tional,smooth muscle constructs is modulated by bone
[ 5 ] 张声生,魏玮,杨俭勤. 肠易激综合征中医诊疗专家共识 morphogenic protein 2 secreted by sphincteric smooth
意见:2017[J]. 中医杂志,2017,58(18):1614-1620. muscle cells[J]. J Tissue Eng Regen Med,2017,11(4):
ZHANG S S,WEI W,YANG J Q. Consensus opinion of 1251-1261.
Chinese medicine diagnosis and treatment experts on irri‐ [15] SCHNEIDER K M,BLANK N,ALVAREZ Y,et al. The
table bowel syndrome:2017[J]. J Tradit Chin Med,2017, enteric nervous system relays psychological stress to intes‐
58(18):1614-1620. tinal inflammation[J]. Cell,2023,186(13):2823-2838.
[ 6 ] 李夏,王凤云,吴皓萌,等. 基于脑-肠互动功能探讨痛泻 e20.
要方治疗腹泻性肠易激综合征机制的研究进展[J]. 中国 [16] XIAO L,LIU Q,LUO M,et al. Gut microbiota-derived
实验方剂学杂志,2020,26(20):229-234. metabolites in irritable bowel syndrome[J]. Front Cell In‐
LI X,WANG F Y,WU H M,et al. Research progress on fect Microbiol,2021,11:729346.
mechanism of Tongxie yaofang in treating diarrhea- [17] MOSSER D M,HAMIDZADEH K,GONCALVES R.
predominate irritable bowel syndrome based on brain-gut Macrophages and the maintenance of homeostasis[J]. Cell
interaction function[J]. Chin J Exp Tradit Med Formulae, Mol Immunol,2021,18(3):579-587.
2020,26(20):229-234. [18] ZHAO Y,WU J F,LI J V,et al. Gut microbiota composi‐
[ 7 ] 张北华,王微,王凤云,等. 痛泻要方干预腹泻型肠易激 tion modifies fecal metabolic profiles in mice[J]. J Pro‐
综合征肝郁脾虚证模型大鼠的效应评价[J]. 中华中医药 teome Res,2013,12(6):2987-2999.
杂志,2018,33(10):4341-4346. (收稿日期:2023-12-04 修回日期:2024-04-24)
ZHANG B H,WANG W,WANG F Y,et al. Effects of (编辑:张元媛)
中国药房 2024年第35卷第13期 China Pharmacy 2024 Vol. 35 No. 13 · 1611 ·