Umeano Lotanna, Iftikhar Sadaf, Alhaddad Sarah F, Paulsingh Christian N, Riaz Muhammad Faisal, Garg Gourav, Mohammed Lubna
Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Pediatric, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Cureus. 2024 Apr 15;16(4):e58306. doi: 10.7759/cureus.58306. eCollection 2024 Apr.
Irritable bowel syndrome (IBS) is a common functional gastrointestinal (GI) condition, and changes in the gut microbiota's composition contribute to the development of symptoms. Although the precise mechanisms of probiotic use in the human body are not fully understood, probiotic supplements are believed to reduce symptoms, such as abdominal pain, by regulating neurotransmitters and receptors associated with pain modulation in IBS patients compared to placebo by altering the gut flora. This systematic review aimed to assess the most current randomized controlled trials (RCTs) on how probiotic supplementation affects the symptoms in people with IBS. The effects of probiotic supplements on IBS symptoms were studied in RCTs published between January 2018 and June 2023. After a search through PubMed and Google Scholar using the keywords probiotics, gut microbiota, irritable bowel syndrome, and IBS; eight articles matched the inclusion criteria and were reviewed. Four trials used a multistrain probiotic, whereas the remaining four trials examined the effects of a monostrain supplement. All eight trials came to the same conclusion: Probiotic treatment may significantly reduce symptoms.
肠易激综合征(IBS)是一种常见的功能性胃肠疾病,肠道微生物群组成的变化会导致症状的出现。尽管益生菌在人体内的确切作用机制尚未完全明确,但与安慰剂相比,益生菌补充剂被认为可通过调节与IBS患者疼痛调节相关的神经递质和受体,改变肠道菌群,从而减轻腹痛等症状。本系统评价旨在评估关于补充益生菌如何影响IBS患者症状的最新随机对照试验(RCT)。在2018年1月至2023年6月期间发表的RCT中,研究了益生菌补充剂对IBS症状的影响。使用关键词“益生菌”“肠道微生物群”“肠易激综合征”和“IBS”在PubMed和谷歌学术上进行检索后,有8篇文章符合纳入标准并进行了综述。4项试验使用了多菌株益生菌,其余4项试验研究了单菌株补充剂的效果。所有8项试验都得出了相同的结论:益生菌治疗可能会显著减轻症状。