Medicine:复方草石蚕颗粒可通过改变肠道微生物群来改善COPD患者的症状

2020-08-03 MedSci原创 MedSci原创

慢性阻塞性肺疾病(COPD)患者通常会反复出现急性发作。这些患者,尤其是病情稳定的COPD患者,需要一种有效的干预措施来治疗发作。本研究旨在评价复方草石蚕颗粒(CCSG)对稳定型COPD患者的疗效,并

慢性阻塞性肺疾病(COPD)患者通常会反复出现急性发作。这些患者,尤其是病情稳定的COPD患者,需要一种有效的干预措施来治疗发作。本研究旨在评价复方草石蚕颗粒(CCSG)对稳定型COPD患者的疗效,并探讨其潜在机制。

 

在浙江大学金华医院进行随机对照试验,纳入符合稳定型COPD标准的患者。共40例患者,随机分为以下2组:A组(n=20,常规治疗(RT)组)和B组(n=20,RT加CCSGs[RT加CCSGs]组)。治疗时间为3个月。在第0天收集所有患者的粪便样本,使用16s rRNA测序分析肠道微生物群。在第0个月和第3个月评估圣乔治呼吸问卷(SGRQ)评分和肺功能。

 

结果显示,肠道微生物群的成分在稳定的COPD患者和健康人群之间存在差异。与RT组相比,RT加CCSGs组的SGRQ评分有所改善。两组之间的强迫呼气容积一秒、强迫生命力和强迫呼气容积一秒/强迫生命力没有差异。此外,SGRQ评分前10名的患者(N组)的肠道微生物群的丰度与SGRQ评分最低的10名患者(T组)的肠道微生物群的丰度有差异。

 

综上所述,该研究结果表明,在3个月的治疗期内,CCSGs对稳定型COPD患者的症状改善具有有益作用。潜在的潜在机制可能归因于患者之间肠道微生物群的差异。然而,还需要更多的研究来证实这一结论。

 

原始出处:

 

Yibing HuQinghuan Shi, et al., Effects of compound Caoshi silkworm granules on stable COPD patients and their relationship with gut microbiota: A randomized controlled trial. Medicine (Baltimore). 2020 May 29;99(22):e20511. doi: 10.1097/MD.0000000000020511.

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    2021-03-09 ms6000001757048233

    medicine,预警高风险

    0

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    2021-04-25 jeanqiuqiu
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    2020-09-24 lovetcm

    #肺气肿#不靠谱的研究

    0

  5. 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    2020-11-30 kalseyzl
  6. 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    2020-08-05 gous
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慢性阻塞性肺病(COPD)主要与嗜中性粒细胞炎症有关。活性中性粒细胞弹性蛋白酶(NE)是一种丝氨酸蛋白酶,由中性粒细胞分泌,以应对炎症和病原体入侵。本研究旨在探究NE是否可以作为COPD患者的细菌感染

Chest:血清IgG水平和COPD住院风险

低丙种球蛋白血症与较高的COPD住院风险有关。

三联疗法Breztri Aerosphere显著降低中重度COPD急性发作率

III期临床试验(ETHOS研究)表明,与双联疗法相比,阿斯利康的三联疗法Breztri Aerosphere(布地奈德/吡喃糖/富马酸福莫特罗)显著降低了慢性阻塞性肺疾病(COPD)的急性发作率。