医学
微生态学
粪便细菌疗法
肠外营养
肠内给药
重症监护医学
移植
内科学
抗生素
艰难梭菌
生态学
生物
微生物学
出处
期刊:PubMed
日期:2020-07-10
卷期号:23 (Z1): 5-13
被引量:4
标识
DOI:10.3760/cma.j.cn.441530-20200420-00231
摘要
Fecal microbiota transplantation (FMT) is to transplant the functional bacteria in the feces of healthy people into the patients' intestines, rebuild the new balance of intestinal flora, and achieve the treatment goals of intestinal and extraintestinal diseases. In the past 10 years, FMT has made a breakthrough in the treatment of intestinal and extraintestinal diseases, which is highly expected to treat difficult diseases. However, due to the complexity of FMT methodology and the lack of a unified standard, there is a high heterogeneity in FMT efficacy among various researches, greatly affected its clinical application. Under the initiative of Parenteral and Enteral Nutrition Branch of Chinese Medical Association, Enhanced Recovery after Surgery Branch of China International Health Care Promotion Exchange Association, China Microecological Treatment Innovation Alliance, and Microecology Committee of Shanghai Preventive Medicine Association, the first expert consensus on standardized methodology and clinical application of FMT was established in China, with a view to improving the efficacy of FMT, reducing the incidence of adverse reactions and promoting the clinical application of FMT.菌群移植(FMT)是将健康人粪便中的功能菌群移植到患者肠道内,重建新的肠道菌群,实现肠道及肠道外疾病的治疗。近10年来,FMT在治疗肠道内和肠道外疾病方面取得了突破性的进展,临床上对FMT能够治疗肠道内外疑难疾病寄予厚望。但是,由于FMT方法学的建立较为复杂,且国内外尚无统一的标准,导致了各类研究疗效的异质性较大,极大地影响了FMT的临床推广应用。在中华医学会肠外肠内营养学分会、中国国际医疗保健促进交流会加速康复外科分会、中国微生态治疗创新联盟和上海预防医学会微生态专业委员会的倡议下,制定了我国首个关于菌群移植标准化方法学及临床应用专家共识,以期提高FMT的疗效,降低不良反应的发生率,促进FMT的临床应用推广。.
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