天津医药 ›› 2021, Vol. 49 ›› Issue (8): 887-891.doi: 10.11958/20210403

• 综述 • 上一篇    下一篇

脑创伤治疗的新靶点:脑-肠轴

李亚丹 1,周子伟 2,吴迪 1,雷平 2△
  

  1. 1天津市环湖医院重症医学科(邮编300350);2天津医科大学总医院
  • 收稿日期:2021-02-20 修回日期:2021-05-28 出版日期:2021-08-15 发布日期:2021-08-19
  • 通讯作者: 李亚丹 E-mail:lyd19860830@126.com
  • 作者简介:李亚丹(1986),女,博士在读,主要从事神经重症的基础与临床方面研究。E-mail:lyd19860830@126.com
  • 基金资助:
    天津市教育委员会一般项目(2018KJ052

A new target for the treatment of brain trauma: brain-gut axis

LI Ya-dan1, ZHOU Zi-wei2, WU Di1, LEI Ping2△   

  1. 1 Department of Critical Care Medicine, Tianjin Huanhu Hospital, Tianjin 300350, China; 2 Tianjin Medical University General Hospital
  • Received:2021-02-20 Revised:2021-05-28 Published:2021-08-15 Online:2021-08-19

摘要: 脑创伤是致死、致残率较高的疾病。创伤后的原发性损伤重在预防,继发性损伤才是临床治疗的重点。 脑创伤后会出现肠道出血、渗透性增加和菌群失调等;而改善肠道内环境状态可以促进神经功能恢复。脑和肠道之 间存在多种方式的双向信息交流,即脑-肠轴。针对脑-肠轴的治疗可以改善包括脑卒中在内的多种神经系统疾病 的继发性损伤。对脑-肠轴及其在神经系统疾病中的功能作用进行综述,以期为寻找脑创伤治疗的新靶点开拓 思路。

关键词: 颅脑损伤, 胃肠道微生物组, 炎症, 周围神经, 内分泌系统, 脑-肠轴

Abstract: Traumatic brain injury is the disease with high rate of death and disability. The primary injury after trauma is more important in prevention, and the secondary injury is the focus of clinical treatment. After traumatic brain injury, intestinal bleeding, increased permeability and imbalance of microbiota will gradually appear. The improvement of intestinal environment can promote the recovery of neurological function after brain trauma. There are many ways of two-way communication between brain and intestine, namely brain-gut axis. It has been reported that the treatment of brain-gut axis can improve the secondary injury of a variety of nervous system diseases including stroke. Therefore, this paper aims to review the brain-gut axis and its function in nervous system diseases, so as to promote the research of brain trauma and brain-gut axis, and create new ideas for the treatment of traumatic brain injury.

Key words: craniocerebral trauma, gastrointestinal microbiome, inflammation, peripheral nerves, endocrine system, brain-gut axis

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