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坏死性小肠结肠炎的临床表现、诊断、管理以及益生菌对其预防的作用:一项叙述性综述

Clinical Picture, Diagnosis, Management of NEC, and Effects of Probiotics on its Prevention: A Narrative Review.

作者信息

De Bernardo Giuseppe, Ziello Carla, Parisi Grazia, Vecchione Carolina, Fattorusso Valentina, Spadarella Simona, Giordano Maurizio, Buonocore Giuseppe, Perrone Serafina

机构信息

Department of Woman and Child, Buon Consiglio Fatebenefratelli Hospital, Naples, Italy.

Division of Pediatrics, Department of Transaltional Medical Sciences, University of Naples Federico II, Naples, Italy.

出版信息

Curr Pediatr Rev. 2025;21(2):104-110. doi: 10.2174/0115733963317134240801113609.

Abstract

Preterm newborns represent a population at risk of developing intestinal dysbiosis as well as being predisposed to sepsis and Necrotizing Enterocolitis. Necrotizing Enterocolitis is a condition burdened by many complications and mortality due to an alteration of the intestinal barrier, an immaturity of the immune system, and intestinal dysbiosis. Low gestational age at birth, low birth weight, and early use of antibiotics are other predisposing factors. Instead, breast milk and probiotics are protective factors in providing intestinal homeostasis and microbiome regulation. In this mini-review, we analysed the protective role of probiotics in the onset of Necrotizing Enterocolitis in preterm populations.

摘要

早产新生儿是发生肠道菌群失调的高危人群,同时易患败血症和坏死性小肠结肠炎。坏死性小肠结肠炎因肠道屏障改变、免疫系统不成熟和肠道菌群失调而伴有许多并发症和高死亡率。低出生孕周、低出生体重和早期使用抗生素是其他诱发因素。相反,母乳和益生菌是维持肠道内环境稳定和调节微生物群的保护因素。在本综述中,我们分析了益生菌对早产人群坏死性小肠结肠炎发病的保护作用。

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