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肠易激综合征患者的粪便微生物群移植:一项荟萃分析方案。

Fecal microbiota transplantation for patients with irritable bowel syndrome: A meta-analysis protocol.

作者信息

Wen Wenting, Zhang Haibo, Shen Junlong, Wei Luxia, Shen Shunong

机构信息

Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Medicine (Baltimore). 2018 Oct;97(40):e12661. doi: 10.1097/MD.0000000000012661.

Abstract

Irritable bowel syndrome (IBS) is a common functional bowel disease characterized by chronic or recurrent abdominal pain, bloating, constipation, and diarrhea. Many patients with IBS have a poor quality of life due to abdominal discomfort, diarrhea, constipation, and the presence of other diseases. At present, intestinal motility inhibitors, adsorbents, astringents, intestinal mucosal protective agents, and antidepressants have been combined to treat IBS, but the treatment process is long, which results in a large economic burden to patients. Fecal microbiota transplantation (FMT) is a treatment involving the transplantation of functional bacteria from healthy human feces into the gastrointestinal tract of patients; thus, replacing the intestinal flora and modulating intestinal and extra-intestinal diseases. In recent years, the efficacy and economic benefits of FMT in the treatment of IBS have received increasing attention from researchers.A search for randomized controlled trials (RCTs) on treating IBS with FMT will be performed using 9 databases, including PubMed, the Cochrane Library, Embase, ClinicalTrails, China National Knowledge Infrastructure, Sino Med, ScienceDirect, VIP, and Wanfang Data. Two reviewers will independently screen data extraction studies and assess study quality and risk of bias. The risk of bias for each RCT will be assessed against the Cochrane Handbook standards to assess methodological quality. RevMan V.5.3 software will be used to calculate data synthesis when meta-analysis is allowed.This study will provide a high-quality synthesis of existing evidence on the effectiveness and safety of FMT in the treatment of IBS.This study will determine if FMT is an effective and safe intervention for IBS.PROSPERO registration number is PROSPERO CRD42018108080.

摘要

肠易激综合征(IBS)是一种常见的功能性肠病,其特征为慢性或复发性腹痛、腹胀、便秘和腹泻。许多IBS患者因腹部不适、腹泻、便秘以及其他疾病的存在而生活质量较差。目前,已联合使用肠道动力抑制剂、吸附剂、收敛剂、肠黏膜保护剂和抗抑郁药来治疗IBS,但治疗过程漫长,给患者带来了巨大的经济负担。粪便微生物群移植(FMT)是一种将健康人粪便中的功能细菌移植到患者胃肠道的治疗方法;从而替代肠道菌群并调节肠道和肠道外疾病。近年来,FMT治疗IBS的疗效和经济效益受到了研究人员越来越多的关注。将使用9个数据库进行关于FMT治疗IBS的随机对照试验(RCT)检索,这些数据库包括PubMed、Cochrane图书馆、Embase、ClinicalTrails、中国知网、中国生物医学文献数据库、ScienceDirect、维普和万方数据。两名 reviewers 将独立筛选数据提取研究并评估研究质量和偏倚风险。将根据Cochrane手册标准评估每个RCT的偏倚风险,以评估方法学质量。当允许进行荟萃分析时,将使用RevMan V.5.3软件计算数据合成。本研究将对FMT治疗IBS的有效性和安全性的现有证据进行高质量的综合分析。本研究将确定FMT是否是一种治疗IBS的有效且安全的干预措施。PROSPERO注册号为PROSPERO CRD42018108080。 (注:原文中“reviewers”未翻译,可能是特定语境下的术语,需根据实际情况确定准确译法,这里保留英文以便更准确呈现原文内容)

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本文引用的文献

1
Fecal microbial transplantation: an update.粪便微生物移植:更新。
Curr Opin Clin Nutr Metab Care. 2018 Sep;21(5):405-410. doi: 10.1097/MCO.0000000000000488.
2
The gut microbiome and irritable bowel syndrome: State of art review.肠道微生物群与肠易激综合征:现状综述
Arab J Gastroenterol. 2018 Sep;19(3):136-141. doi: 10.1016/j.ajg.2018.02.008. Epub 2018 Jun 20.
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Fecal microbiota transplantation for gastrointestinal disorders.用于胃肠道疾病的粪便微生物群移植
Curr Opin Gastroenterol. 2017 Jan;33(1):8-13. doi: 10.1097/MOG.0000000000000326.
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Irritable bowel syndrome: a clinical review.肠易激综合征:临床综述。
JAMA. 2015 Mar 3;313(9):949-58. doi: 10.1001/jama.2015.0954.

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