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肠道菌群对化疗所致周围神经病变影响机制的研究进展
作者:李晓荟1 2  马京华1  王荣1  尹晓华3  连建伦2  郝子兰1 4  刘云肖1 
单位:1. 河北中医药大学 护理学院, 河北 石家庄 050000;
2. 河北省中医院 肿瘤一科, 河北 石家庄 050000;
3. 河北省中医院 护理部, 河北 石家庄 050000;
4. 长治医学院附属和济医院 护理部, 山西 长治 046000
关键词:肠道菌群 化疗所致周围神经病变 机制 综述 
分类号:R741.05;R730.53
出版年·卷·期(页码):2024·52·第十二期(1969-1973)
摘要:

化疗所致周围神经病变(CIPN)是肿瘤患者化疗期间常见的不良反应之一,发生率随着化疗周期数的增加而升高,严重影响了患者的癌症治疗进程和生活质量。CIPN治疗中西医专家共识中非药物疗法推荐运动锻炼、针灸治疗,但肿瘤患者多身体虚弱、对运动锻炼和针灸治疗依从性较差。肠道菌群相关治疗作为一种治疗方法近年来得到了广泛应用,肠道菌群对许多药物的吸收、消除、疗效和毒性起着关键作用,它可以通过“菌群—肠—脑轴”等改变伤害性感受神经元的周围微环境,调节中枢和外周神经系统,促进化疗诱导机械性疼痛的发展。因此,本文作者综述了CIPN与肠道菌群相关的的发病机制并针对肠道菌群介导的潜在治疗策略进行分析,为CIPN的临床治疗决策提供更多的选择。

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