Ma Yuan-Pei, Ma Jing-Yue, Tong Xiao-Mei
Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2018 Aug;20(8):680-685. doi: 10.7499/j.issn.1008-8830.2018.08.015.
Necrotizing enterocolitis (NEC) is a common severe gastrointestinal disease in preterm infants. The morbidity and mortality of NEC are negatively correlated with the gestational age and birth weight. In addition to causing a variety of gastrointestinal complications, NEC can also cause neurodevelopmental impairment. Recently, many studies have found that gut microbiome dysbiosis plays an important part in the pathogenesis of NEC. It is helpful to explore the relationship between gut microbiome and NEC for the early diagnosis and severity prediction of NEC. Researchers have paid much attention to the role of probiotics in reducing the morbidity and mortality of NEC in preterm infants. It's controversial as to whether probiotics is effective and safe in clinical application. This article will review the relationship between the development of gut microbiome and NEC in preterm infants, as well as the preventive effect of probiotics on NEC.
坏死性小肠结肠炎(NEC)是早产儿常见的严重胃肠道疾病。NEC的发病率和死亡率与胎龄和出生体重呈负相关。除了引起各种胃肠道并发症外,NEC还可导致神经发育障碍。最近,许多研究发现肠道微生物群失调在NEC的发病机制中起重要作用。探索肠道微生物群与NEC之间的关系有助于NEC的早期诊断和严重程度预测。研究人员十分关注益生菌在降低早产儿NEC发病率和死亡率方面的作用。益生菌在临床应用中是否有效和安全存在争议。本文将综述早产儿肠道微生物群发育与NEC之间的关系,以及益生菌对NEC的预防作用。