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益生菌在成人特应性皮炎治疗中的作用:一项随机对照试验的荟萃分析。

The role of probiotics in the treatment of adult atopic dermatitis: a meta-analysis of randomized controlled trials.

机构信息

Doctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

Department of Dermatology and Venerology, Faculty of Medicine, Universitas Airlangga - Dr Soetomo General Academic Hospital, Moestopo Number 47, Surabaya, East Java, Indonesia.

出版信息

J Health Popul Nutr. 2022 Aug 17;41(1):37. doi: 10.1186/s41043-022-00318-6.

DOI:10.1186/s41043-022-00318-6
PMID:35978397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9386980/
Abstract

BACKGROUND

Atopic dermatitis (AD) is chronic inflammatory skin disease that is relapsing and a serious condition that disrupts the quality of life of affected individuals. Probiotics are an immunomodulator that can enhance the immune control of atopic dermatitis.

METHODS

All randomized controlled trials of probiotics for the treatment of adult AD published before December 2020 were included in this study from the PubMed databases and manual searching.

RESULTS

Six randomized controlled trials (n = 241) were selected for this meta-analysis study. Probiotics were effective in treating adult patients with AD, indicated by the decrease in Scoring Atopic Dermatitis/SCORAD (Mean Difference (MD)  - 7.90, 95% CI - 7.25 to - 6.92; p < 0.00001; I = 96%) and improved quality of life (MD - 7.68, 95% CI - 14.08 to - 1.29; p = 0.02; I = 47%) which were statistically significant. However, skin severity, itch severity, Dermatology Life Quality Index (DLQI), IL-4, TFN-γ, and IgE showed no significant difference in this meta-analysis study (p > 0.05).

LIMITATIONS

The study found no available data for side effects of probiotics.

STRENGTH

This meta-analysis analyzed a total of 241 AD patients of Asian and European origin.

CONCLUSION

The use of probiotics decreased SCORAD significantly in adult patients with AD. Probiotics can improve the quality of life of patients with AD. The use of probiotics in atopic dermatitis has been widely studied, with controversial results. This meta-analysis suggests that the use of probiotics can improve SCORAD and the quality of life of patients with atopic dermatitis.

摘要

背景

特应性皮炎(AD)是一种慢性炎症性皮肤病,具有复发性,会严重影响患者的生活质量。益生菌是一种免疫调节剂,可以增强特应性皮炎的免疫控制。

方法

从 PubMed 数据库和手动搜索中纳入了截至 2020 年 12 月所有关于益生菌治疗成人 AD 的随机对照试验。

结果

本荟萃分析研究共纳入了 6 项随机对照试验(n=241)。益生菌治疗成人 AD 有效,表现为 SCORAD 评分降低(平均差(MD)-7.90,95%置信区间(CI)-7.25 至-6.92;p<0.00001;I²=96%)和生活质量改善(MD-7.68,95%CI-14.08 至-1.29;p=0.02;I²=47%),差异均有统计学意义。然而,皮肤严重程度、瘙痒严重程度、皮肤病生活质量指数(DLQI)、IL-4、TFN-γ 和 IgE 在本荟萃分析中无显著差异(p>0.05)。

局限性

本研究未发现益生菌不良反应的可用数据。

优势

本荟萃分析分析了来自亚洲和欧洲的 241 名 AD 患者。

结论

益生菌可显著降低 AD 成人患者的 SCORAD。益生菌可改善 AD 患者的生活质量。益生菌在特应性皮炎中的应用已广泛研究,但结果存在争议。本荟萃分析表明,益生菌的使用可以改善特应性皮炎患者的 SCORAD 和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/4e93fbb05444/41043_2022_318_Fig8_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/4e93fbb05444/41043_2022_318_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/0587bb968ead/41043_2022_318_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/63ba3a4170a3/41043_2022_318_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/7e92292ab008/41043_2022_318_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/2278118c54c6/41043_2022_318_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/6c925a2a4d0f/41043_2022_318_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/06f001e1c383/41043_2022_318_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6323/9386980/4e93fbb05444/41043_2022_318_Fig8_HTML.jpg

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