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Natural Carbohydrates-based Nanoparticles: A Review of Pharmaceutical Applications 基于天然碳水化合物的纳米颗粒:药物应用综述
IF 0.8 Q3 Medicine Pub Date : 2022-08-26 DOI: 10.2174/2210315512666220826145928
K. Kumar, Sheetu, Arun Sharma, Gurvinder Singh, Rajesh Kumar
Carbohydrates are the most common biopolymers, with the capability to construct supramolecular structures. For biomedical purposes, a variety of carbohydrate-based nanoparticles have been used. Basic monosaccharides or disaccharides, along with sophisticated polymeric systems, are used to create these structures. The shape and properties of these materials can be modified using chemical alterations. Carbohydrates-based nanogels and nanoparticles have been used for drug delivery, tissue engineering, and cell imaging. Carbohydrate-based elements are excellent derivatives for the production of responsive systems because of the reversible character of the assembly, which is frequently based on a mixture of hydrophobic interactions and hydrogen bonding. The present manuscript attempts to review the recent studies on carbohydrate-based nanomaterials and an update on the patents granted for the same.
碳水化合物是最常见的生物聚合物,具有构建超分子结构的能力。为了生物医学目的,已经使用了各种基于碳水化合物的纳米颗粒。碱性单糖或二糖,以及复杂的聚合物系统,被用来产生这些结构。这些材料的形状和性能可以通过化学改变来改变。基于碳水化合物的纳米凝胶和纳米颗粒已被用于药物递送、组织工程和细胞成像。基于碳水化合物的元件是生产响应系统的优秀衍生物,因为组装的可逆特性通常基于疏水相互作用和氢键的混合物。本手稿试图回顾最近对碳水化合物基纳米材料的研究,以及对其专利的更新。
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引用次数: 1
Significance of chemically derivatized starch as drug carrier in developing novel drug delivery devices 化学衍生淀粉作为药物载体在开发新型给药装置中的意义
IF 0.8 Q3 Medicine Pub Date : 2022-08-19 DOI: 10.2174/2210315512666220819112334
Mayank Kumar Malik, Pankaj Bhatt, T. Kumar, Jaspal Singh, Vipin Kumar, A. Faruk, S. Fuloria, N. Fuloria, Vetriselvan Subrimanyan, Sunil Kumar
Delivery of therapeutics using synthetic polymers is challenging due to toxicity, immunogenicity and impaired bioavailability following administration. However, natural polymers are being explored as safe for their use as a substitute for synthetic polymers. In the past three decades, the biomaterials like starches have been applied to impart an imperative role in delivering therapeutics. Resultantly, there is an increased focus on finding new sources of starches along with their modifications. Hence, derivatization of starches has become a necessity to achieve desired properties. The modifications to native starch systems are being investigated to improve solubility, stability, bioavailability, etc. of an incorporated drug (s) and lower-down induced toxicities. All these requirements have led to the use of modified starches in the drug delivery of bioactive component(s). This review explores the current state of knowledge about starch structure and chemical modification methods in perspectives. It integrates aspects of its use in developing drug delivery devices in the form of tablets, hydrogel, patches. The information provided in this review may be applied as a reference for future chemically modified starch as excipients in drug carrier studies.
由于给药后的毒性、免疫原性和生物利用度受损,使用合成聚合物进行治疗具有挑战性。然而,天然聚合物作为合成聚合物的替代品被认为是安全的。在过去的三十年里,淀粉等生物材料已被应用于在提供治疗方面发挥重要作用。因此,人们越来越关注寻找淀粉及其修饰的新来源。因此,淀粉的衍生化已成为实现所需性能的必要条件。正在研究对天然淀粉系统的修饰,以提高掺入药物的溶解度、稳定性、生物利用度等,并降低向下诱导的毒性。所有这些要求都导致了改性淀粉在生物活性成分的药物递送中的应用。本文综述了淀粉结构和化学改性方法的研究现状。它集成了其在开发片剂、水凝胶和贴片形式的药物递送设备中的应用。本综述中提供的信息可作为未来化学修饰淀粉作为药物载体研究中赋形剂的参考。
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引用次数: 7
Phytochemistry and Pharmacology of Indian Traditional plant Hyssop (Hyssopus officinalis L.): A Review. 印度传统植物海松(Hyssopus officinalis L.)的植物化学和药理学:综述。
IF 0.8 Q3 Medicine Pub Date : 2022-08-11 DOI: 10.2174/2210315512666220811153919
Vanktesh Kumar, Navjot Kaur, A. Kaur, P. Wadhwa
Hyssopus officinalis is a traditional medicinal plant that belongs to the family Lamiaceae, which has been used from centuries for various purposes like carminative, expectorant, cough reliever. It has been used for the treatment of numerous diseases in patients such as ulcers, asthma, jaundice, leprosy, dropsy, bronchitis, COPD, diabetes, AIDS, bacterial and fungal infections as an herbal remedy due to its fewer side effects and is more efficacies than other traditional medicine. Major classes of chemical compounds found in H. officinalis essential oil are bicyclic monoterpenes, monoterpenoids, acyclic monoterpenes, phenolic monoterpenoids, monocyclic monoterpenes, monocyclic sesquiterpenes, tricyclic sesquiterpenes, bicyclic sesquiterpenes, tricyclic sesquiterpenoids, straight chain saturated hydrocarbons. Some of the major chemical constituents present in the H. officinalis are β-pinene, α-pinene, 1, 8-cineole, apigenin, diosmin, caffeic acid, rosmarinic acid, cis-pinocamphone, trans-pinocamphone, iso-pinocamphone, pinocarvone, which are responsible for its various pharmacological activity. Various studies have been performed on the pharmacological activity of its extract, such as antioxidant, antimicrobial, anti-diabetic, anticancer, antiviral, anti-inflammatory, analgesic, anti-leishmanial, anthelmintic, anti-protozoal and anti-anxiety. Recently, it is use as an anticancer agent has been demonstrated by studying its cytotoxic and apoptotic effects on breast cancer and colon cancer cells. It is used as a potent antibacterial and antifungal agent was studied on the antibiotic-resistant bacterial and fungal strains recently, which can be further useful in developing herbal medicine against AMR. It is an excellent natural antioxidant due to the presence of polyphenolic compounds, and H. officinalis is used in various food industries as a source of natural antioxidants, which has minimum side effects as compared to artificial antioxidants. Furthermore, the pharmacological activity of these individual chemical constituents in H. officinalis extract still needs to be investigated for identifying the effectiveness of this plant in the natural treatment of various diseases. This review aims to collect various data regarding the traditional herbal plant hyssop (Hyssopus Officinalis), including its photochemistry, chemical structures of the phyto-constituents and pharmacological profile, along with all the pharmacological models. This plant has significant importance in the health industry, so further studies are required on its effective usage against various emerging health problems, including COVID-19, cancer, diabetes, AMR.
牛膝草(Hyssopus officinalis)是一种传统的药用植物,属于Lamiaceae家族,几个世纪以来一直被用于各种用途,如驱风、祛痰、止咳。由于其副作用更少,比其他传统药物更有效,它已被用于治疗溃疡、哮喘、黄疸、麻风病、水肿、支气管炎、慢性阻塞性肺病、糖尿病、艾滋病、细菌和真菌感染等许多疾病。马齿苋精油中发现的化合物主要有双环单萜、单萜、无环单萜、酚类单萜、单环单萜、单环倍半萜、三环倍半萜、双环倍半萜、三环倍半萜、直链饱和烃。officinalis的主要化学成分有β-蒎烯、α-蒎烯、1,8 -桉树油脑、芹菜素、diosmin、咖啡酸、迷迭香酸、顺-匹诺曹酮、跨-匹诺曹酮、异-匹诺曹酮等,这些化学成分是其各种药理活性的主要成分。对其提取物的药理活性进行了各种研究,如抗氧化、抗菌、抗糖尿病、抗癌、抗病毒、抗炎、镇痛、抗利什曼原虫、驱虫药、抗原虫和抗焦虑。近年来,通过研究其对乳腺癌和结肠癌细胞的细胞毒性和凋亡作用,证实了其作为抗癌药物的作用。作为一种有效的抗菌和抗真菌药物,近年来对耐药细菌和真菌菌株进行了研究,为开发抗抗生素耐药性的草药提供了有益的依据。由于多酚类化合物的存在,它是一种极好的天然抗氧化剂,并且在各种食品工业中用作天然抗氧化剂的来源,与人工抗氧化剂相比,它的副作用最小。此外,为了确定该植物在自然治疗各种疾病中的有效性,还需要研究officinalis提取物中这些单个化学成分的药理活性。本文对传统草本植物牛膝草(Hyssopus Officinalis)的光化学、化学结构、药理特征及其所有药理模型进行了综述。这种植物在健康产业中具有重要意义,因此需要进一步研究它对各种新出现的健康问题的有效使用,包括COVID-19,癌症,糖尿病,AMR。
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引用次数: 0
A review of phytoconstituents as antibacterial agents 植物成分抗菌研究进展
IF 0.8 Q3 Medicine Pub Date : 2022-08-04 DOI: 10.2174/2210315512666220804111049
Gunjan Bisht, Ankit Kumar Singh, Adarsh Kumar, Pradeep Kumar
Bacteria cause various infectious diseases and cause millions of deaths each year. Bacteria are broadly classified based on the phenotypic and genotypic systems. Bacteria cause resistance mainly by Plasmids, Inactivation of antibiotics, Target site modification, Prevent drug uptake, Efflux pumps, and Biofilm. Plants have been used for thousands of years for their medicinal uses to treat various diseases. Secondary metabolites like terpenes, alkaloids, phenolic compounds, tannins, quinones, steroids, polyketides, aromatics, and, peptides are plant-derived compounds that possess antibacterial activity and decrease resistance by inhibition of biofilm formation, Efflux pump [EP] inhibitors, attenuating bacterial virulence, Immunomodulation activity. Use of phytoconstituents synergism, combination therapy (Bio-enhancers), herbal preparation benefit in antibacterial potential and decrease resistance.
细菌引起各种传染病,每年造成数百万人死亡。细菌根据表型和基因型系统进行广泛分类。细菌主要通过质粒、抗生素灭活、靶位点修饰、防止药物摄入、流出泵和生物膜引起耐药性。数千年来,植物一直被用于治疗各种疾病。次生代谢产物,如萜烯、生物碱、酚类化合物、单宁、醌、类固醇、聚酮、芳烃和肽,是植物衍生的化合物,具有抗菌活性,并通过抑制生物膜形成、Efflux泵[EP]抑制剂、减弱细菌毒力和免疫调节活性来降低耐药性。使用植物成分协同作用,联合治疗(生物增强剂),草药制剂有利于抗菌潜力和降低耐药性。
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引用次数: 0
Novel anti-amoebic properties of agarophytes Gracilaria changii and Gracilaria salicornia extracts 江蓠和荆芥提取物抗阿米巴的新特性研究
IF 0.8 Q3 Medicine Pub Date : 2022-08-03 DOI: 10.2174/2210315512666220803164452
Tiong-Keat Goh, Yoon-Yen Yow, Ayaz Anwar, N. Khan, S. Ong
Acanthamoeba is a ubiquitous and parasitic protozoan capable of causing serious human infections, resulting in blindness and even death. Seaweeds are abundant and widely known for their antimicrobial properties. This study aims to unveil the anti-amoebic potential of two Malaysian red seaweeds, Gracilaria changii and Gracilaria salicornia on Acanthamoeba castellanii.Water, methanol and ethyl acetate extracts of G. changii and G. salicornia were tested against A. castellanii. Liquid chromatography-mass spectrometry (LC-MS) analysis was carried out to identify the compounds responsible for the anti-amoebic effect.Methanol extract of G. salicornia showed a significant growth inhibition of 22 % in A. castellanii trophozoites. Cytotoxicity of these extracts were shown to be minimal in human keratinocyte cells through cell viability assay.Data from LC-MS revealed fourteen compounds with reported biological activities. These findings suggest the use of G. changii and G. salicornia as potential sources of anti-amoebic compounds.
棘阿米巴是一种普遍存在的寄生原生动物,能够引起严重的人类感染,导致失明甚至死亡。海藻种类繁多,以其抗菌特性而广为人知。本研究旨在揭示两种马来西亚红海藻——长叶龙须菜和盐生龙须菜对棘阿米巴的抗阿米巴潜力。采用水、甲醇和乙酸乙酯提取液对杨柳和杨柳进行了药效试验。进行液相色谱-质谱(LC-MS)分析以鉴定产生抗阿米巴效应的化合物。盐角藻的甲醇提取物对a.castellanii滋养体的生长具有22%的显著抑制作用。通过细胞活力测定,这些提取物在人类角质形成细胞中的细胞毒性最小。LC-MS数据显示有14种化合物具有报告的生物活性。这些发现表明,G.changii和G.saliconia是抗阿米巴化合物的潜在来源。
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引用次数: 0
Phytochemical, pharmacognostic and pharmacological aspects of Ricinus communis seed oil: An overview 蓖麻籽油的植物化学、生药学和药理学研究综述
IF 0.8 Q3 Medicine Pub Date : 2022-07-07 DOI: 10.2174/2210315512666220707092403
S. V. Shekade, S. Shirolkar, S. Deshkar, P. S. Giram
Castor oil is a multipurpose vegetable oil extracted from the seeds of the Ricinus communis from the family Euphorbiaceae. The castor oil contains a mixture of esters of saturated and unsaturated fatty acids such as ricinoleic, palmitic, stearic, oleic, linoleic, and linolenic acid linked to glycerol. The unique structure of major constituents of castor oil offers several functionalization possibilities for transforming it into advanced functional material. Although castor oil is considered nonedible, after purification, it is widely used for medicinal and cosmetic purposes.The objective of this paper is to review and compile the research work on the castor oil, its chemicals composition, different methods of extraction with their significance and use of castor oil and its derivatives in healthcare, agriculture, and industrial applications.The literature related to castor oil and its applications was collected through different websites, academic research portals and databases, sorted and presented in this review.Castor oil has been investigated for several medicinal applications including, antiulcer, antimicrobial, bone degeneration, wound healing, and immune-booster etc. Recently, castor oil and its derivatives have been explored as lubricants, bioadhesive, polishing agents, insecticides, fertilizer, in biodiesel production, and as vehicles for various drug delivery systems. This review summarizes the chemical composition of castor oil, various methods for its extraction and purification, castor oil derivatives, and different pharmacological, medicinal, industrial and drug delivery applications.The castor oil and its derivatives offer numerous potential applications in food, pharmaceutical, agricultural and cosmetic industry that has opened up several opportunities of research in this area.
蓖麻油是从大戟科蓖麻籽中提取的一种多用途植物油。蓖麻油含有饱和和不饱和脂肪酸的酯的混合物,如蓖麻油酸、棕榈酸、硬脂酸、油酸、亚油酸和与甘油相连的亚麻酸。蓖麻油主要成分的独特结构为将其转化为先进的功能材料提供了几种功能化的可能性。虽然蓖麻油被认为是不可食用的,但经过纯化后,它被广泛用于医药和化妆品目的。本文的目的是回顾和汇编关于蓖麻油、其化学成分、不同提取方法及其意义以及蓖麻油及其衍生物在医疗保健、农业和工业应用中的应用的研究工作。通过不同的网站、学术研究门户网站和数据库收集了与蓖麻油及其应用有关的文献,并对其进行了分类和介绍。蓖麻油已被研究用于多种药物应用,包括抗溃疡、抗菌、骨退化、伤口愈合和免疫增强剂等。最近,蓖麻油及其衍生物已被探索用作润滑剂、生物粘合剂、抛光剂、杀虫剂、肥料、生物柴油生产以及各种药物输送系统的载体。本文综述了蓖麻油的化学成分、提取和纯化蓖麻油的各种方法、蓖麻油衍生物以及不同的药理、药用、工业和药物递送应用。蓖麻油及其衍生物在食品、制药、农业和化妆品行业提供了许多潜在的应用,这为该领域的研究开辟了一些机会。
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引用次数: 2
Meet The Editorial Board Member 会见编辑委员会成员
IF 0.8 Q3 Medicine Pub Date : 2022-07-01 DOI: 10.2174/221031551204220614105406
R. Erenler
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引用次数: 0
Novel delivery technologies: Triggering the Biopharmaceutical potential of Boswellic acids 新型递送技术:激发Boswellic酸的生物制药潜力
IF 0.8 Q3 Medicine Pub Date : 2022-06-30 DOI: 10.2174/2210315512666220630105018
Daphisha Marbaniang, A. Das, Paulami Pal, Niva Rani Gogoi, A. Saikia, S. Ray, B. Mazumder
Boswellic acids are series of pentacyclic triterpenes, derived from the gum resin of Boswellia Genus, mostly from Boswellia serrata Roxb. (Burseraceae) tree commonly known as Indian Frankincense or salai guggul and traditionally used as an anti-inflammatory agent. It acts by inhibiting 5-Lipoxygenase, C3-convertase, cyclooxygenase preferably COX-1, Human Leukocyte Elastase, NF-κB expression, Topoisomerase I and II and microsomal Prostaglandin E2 synthase-1. Boswellia species are reported to have various pharmacological potentials like anti-inflammatory, anti-cancer, anti-microbial, anti-arthritic, immunomodulatory activity, neuroprotective activity, and are also proved to be effective against ileitis, ulcerative colitis, hypolipidemic, hypertension and hepatotoxicity. Regardless of their multiple uses, pharmacokinetic studies of Boswellic acids revealed their poor oral bioavailability, high lipophilicity, and their degradation by hepatic Phase I mechanism. With low solubility and poor bioavailability, different approaches have been applied to improve the poor pharmacokinetic profile of Boswellic acids. Designing and developing novel delivery systems for its enhanced permeability, improved bioavailability with better efficacy has been of great interest.
Boswellic acids是一系列五环三萜,来源于Boswellia属的树胶树脂,主要来源于锯叶BoswelliaRoxb。(Burseraceae)一种树,通常被称为印度乳香或salai guggul,传统上用作抗炎剂。它通过抑制5-脂氧合酶、C3转化酶、环氧合酶(优选COX-1)、人白细胞弹性蛋白酶、NF-κB表达、拓扑异构酶I和II以及微粒体前列腺素E2合成酶-1发挥作用。据报道,Boswellia物种具有多种药理潜力,如抗炎、抗癌、抗菌、抗关节炎、免疫调节活性、神经保护活性,并被证明对回肠炎、溃疡性结肠炎、降血脂、高血压和肝毒性有效。无论其多种用途如何,Boswellic acids的药代动力学研究显示其口服生物利用度低、亲脂性高,并通过肝脏I期机制降解。由于溶解度低,生物利用度差,人们采用了不同的方法来改善博斯韦尔酸较差的药代动力学特征。设计和开发新型递送系统以提高其渗透性、提高生物利用度和更好的疗效一直备受关注。
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引用次数: 0
Neuroprotection of Multitargeted Phytochemicals against Alzheimer: A Desperate Need from Nature 多靶向植物化学物质对阿尔茨海默病的神经保护作用:大自然的迫切需要
IF 0.8 Q3 Medicine Pub Date : 2022-06-27 DOI: 10.2174/2210315512666220627153553
Ashwani K. Dhingra, B. Chopra
Alzheimer’s disease (AD) is an incurable neurodegenerative disorder associated with dementia which leads to the alteration in the psychological and physiological functioning of the individual. From antiquity, medicinal plants serve as important sources of bioactive phytochemicals representing tremendous therapeutic potential. The unavoidable adverse effects associated with synthetic compounds trigger the exploration of new and safer substitutes for the treatment and management of disease conditions. Herbal medication proves to be an emerging and most promising alternative, which is expected to be a revolutionary approach in modern medicine for disease treatment.Several phytochemicals like resveratrol, curcumin, apigenin, docosahexaenoic acid, epigallocatechin gallate, and α-lipoic acid exhibit great potential in the prevention and management of AD. Their use might be a possible remedy and lead to a safe strategy to delay the onset of AD and slow the progression of this pervasive disorder. To determine the potential of these natural components as anti-AD, this review focuses on the updates on clinical studies and research.Extensive literature survey was carried out on natural multitargeted bioactive phytochemicals from various scientific databases like PubMed, Science Direct, Scopus, Clinicaltrails.gov, and many reputed foundations. Current prose emphasizes the identified bioactive compounds as anti-AD, which were reviewed with particular emphasis on their scientific impact and novelty.These compounds diminish the pathophysiological aspects of AD; still, further studies are required to prove the safety and efficacy of these compounds in humans.This present review might help the researchers, academicians and industrialists in drug development as a new paradigm of drug discovery.
阿尔茨海默病(AD)是一种与痴呆症相关的无法治愈的神经退行性疾病,它会导致个体心理和生理功能的改变。自古以来,药用植物就是具有巨大治疗潜力的生物活性植物化学物质的重要来源。合成化合物不可避免的副作用促使人们探索新的、更安全的替代品来治疗和管理疾病。草药被证明是一种新兴的、最有前景的替代品,有望成为现代医学治疗疾病的革命性方法。一些植物化学物质,如白藜芦醇、姜黄素、芹菜素、二十二碳六烯酸、表没食子儿茶素没食子酸盐和α-硫辛酸,在预防和治疗AD方面表现出巨大的潜力。它们的使用可能是一种可能的治疗方法,并导致一种安全的策略来延缓AD的发作和减缓这种普遍疾病的进展。为了确定这些天然成分作为抗AD的潜力,本文综述了临床研究和研究的最新进展。对来自PubMed、Science Direct、Scopus、Clinicaltrails.gov等多个科学数据库和许多知名基金会的天然多靶向生物活性植物化学物质进行了广泛的文献调查。目前的文章强调了已鉴定的抗AD的生物活性化合物,并对其进行了综述,特别强调了其科学影响和新颖性。这些化合物减少了AD的病理生理方面;然而,还需要进一步的研究来证明这些化合物在人体中的安全性和有效性。这篇综述可能有助于研究人员、学者和实业家将药物开发作为一种新的药物发现范式。
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引用次数: 0
Mechanism, Pathophysiology and herbal Management-A Review on Irritable Bowel Syndrome 肠易激综合征的发病机制、病理生理学和草药管理研究进展
IF 0.8 Q3 Medicine Pub Date : 2022-06-24 DOI: 10.2174/2210315512666220624163105
A. Wal, P. Wal, Neha Verma, A. Rai, Piyush Vatsha
The global distribution of IBS is surprisingly uniform, affecting men and women of all ages. Its deep-rooted character, symptoms that fluctuate from moderate to extreme, have several detrimental effects on the sufferer's standard of living; consequently, proper treatment of these patients is necessary. The etiology of IBS is unknown. Although several explanations were also proposed, the specific etiology of irritable bowel syndrome remains unknown. Clinical trials using stabilized therapies and new active medications have shown symptom reduction over placebo.IBS has long been linked to visceral sensitivity and gastrointestinal motor abnormalities. The pathophysiology of IBS appears to be multifaceted. However, several of the following elements are vital in forming IBS. This paper aims to provide a complete, scientific proof assessment of the prognosis, pathogenesis, and therapy choices to assist clinicians in successfully treating their patients.The report's information was compiled by combining numerous review articles and research papers from multiple sources, including Hindawi, Elsevier, NCBI [National Centre for Biotechnology Information], and Research Gate, from 1981 to 2021, using keywords such as IBS, Brain-gut axis, postinfectious IBS, Microbiota, low-grade inflammation, and so on.The acute symptom influences the selection of medical techniques and therapy (IBS with diarrhoea, IBS with constipation, or mixed IBS). Current research demonstrates both pharmaceutical and non-pharmaceutical treatment has a positive impact (in comparison to a placebo) on irritable bowel syndrome (IBS) problems, discomfort relief, and improved health status.
肠易激综合征的全球分布惊人地均匀,影响所有年龄段的男性和女性。其根深蒂固的特点,症状从中度到极端波动,对患者的生活水平产生了若干不利影响;因此,对这些患者进行适当的治疗是必要的。肠易激综合征的病因尚不清楚。虽然也提出了几种解释,但肠易激综合征的具体病因尚不清楚。使用稳定疗法和新的活性药物的临床试验表明,与安慰剂相比,症状减轻了。长期以来,肠易激综合征与内脏敏感性和胃肠道运动异常有关。肠易激综合征的病理生理似乎是多方面的。然而,以下几个因素对肠易激综合征的形成至关重要。本文旨在提供一个完整的,科学的评估预后,发病机制和治疗选择,以协助临床医生成功地治疗他们的病人。该报告的信息是综合了1981年至2021年期间来自Hindawi、Elsevier、NCBI(国家生物技术信息中心)和research Gate等多个来源的大量综述文章和研究论文,使用了肠易症候群、脑-肠轴、感染后肠易症候群、微生物群、低度炎症等关键词。急性症状影响医疗技术和治疗的选择(肠易激综合征合并腹泻,肠易激综合征合并便秘,或混合肠易激综合征)。目前的研究表明,药物和非药物治疗(与安慰剂相比)对肠易激综合征(IBS)问题、不适缓解和改善健康状况都有积极影响。
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引用次数: 0
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