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中华重症医学电子杂志 ›› 2025, Vol. 11 ›› Issue (01) : 31 -35. doi: 10.3877/cma.j.issn.2096-1537.2025.01.007

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基于肠道菌群探讨脓毒症相关脑病治疗的新靶点
尚伟锋1, 陈德昌1,()   
  1. 1. 200025 上海,上海交通大学医学院附属瑞金医院重症医学科
  • 收稿日期:2025-02-12 出版日期:2025-02-28
  • 通信作者: 陈德昌
  • 基金资助:
    国家自然科学基金项目(82241044,82172152)

Investigating new targets for the treatment of sepsis-associated encephalopathy based on gut microbiota

Weifeng Shang1, Dechang Chen1,()   

  1. 1. Department of Critical Care Medicine,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China
  • Received:2025-02-12 Published:2025-02-28
  • Corresponding author: Dechang Chen
引用本文:

尚伟锋, 陈德昌. 基于肠道菌群探讨脓毒症相关脑病治疗的新靶点[J/OL]. 中华重症医学电子杂志, 2025, 11(01): 31-35.

Weifeng Shang, Dechang Chen. Investigating new targets for the treatment of sepsis-associated encephalopathy based on gut microbiota[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2025, 11(01): 31-35.

脓毒症相关脑病(SAE)是重症患者常见的并发症,其病理机制复杂且缺乏特异性治疗。近年研究发现,肠道菌群通过“肠-脑轴”调控神经炎症与血脑屏障(BBB)功能,成为SAE干预的新方向。本文综述肠道菌群失调在SAE中的作用机制,探讨益生菌、粪菌移植、靶向菌群代谢产物及信号通路的治疗策略,未来的研究需结合多组学技术与临床转化验证。

Sepsis-associated encephalopathy (SAE) is a common complication in critically ill patients,and its pathogenesis is complex and lacks specific treatment. In recent years,gut flora has been found to regulate neuroinflammation and blood-brain barrier function through the “gut-brain axis”,which has become a new direction for SAE intervention. In this paper,we review the role of gut dysbiosis in SAE,explore the therapeutic strategies of probiotics,fecal transplants,and targeting of bacterial metabolites and signaling pathways,and future research should integrate multi-omics techniques with clinical translational validation.

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