基于“肝脾相关”理论探讨调控肠道菌群防治肝硬化腹水伴自发性细菌性腹膜炎  

Discussion on Treatment of Cirrhosis Ascites with Spontaneous Bacterial Peritonitis by Controlling Intestinal Flora on the Basis of “Liver and Spleen Correlation” Theory

作　　者：谢璐 刘朝霞[2] 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第一医院消化一科,黑龙江 哈尔滨

出　　处：《临床医学进展》2024年第7期1463-1468,共6页Advances in Clinical Medicine

摘　　要：“肝脾相关”理论属于五脏相关理论的重要内容,而肝气郁滞,脾虚失运是肝硬化腹水伴自发性细菌性腹膜炎的关键病机。近年来肠道菌群和肝肠轴理论在慢性肝病的研究中得到了越来越多的证据支持,而中医药对肠道菌群的调控作用也成为研究热点。因此在“肝脾相关”理论指导下,深入探讨调节肠道菌群在治疗肝硬化腹水伴自发性细菌性腹膜炎中的防治作用,将有助于从中西医结合角度为治疗肝硬化腹水伴自发性细菌性腹膜炎提供新思路。The theory of “correlation between liver and spleen” is an important part of the theory of correlation between five zang viscera, and the stagnation of liver qi and the loss of spleen are the key pathogenesis of cirrhosis ascites with spontaneous bacterial peritonitis. In recent years, intestinal flora and gut-liver axis theory have been supported by more and more evidence in the study of chronic liver disease, and the regulation of traditional Chinese medicine on intestinal flora has also become a research spot. Therefore, under the guidance of the theory of “liver and spleen correlation”, in-depth discussion on the prevention and treatment effect of regulating intestinal flora in the treatment of cirrhotic ascites accompanied by spontaneous bacterial peritonitis will help to provide new ideas for the treatment of cirrhotic ascites accompanied by spontaneous bacterial peritonitis from the perspective of integrated Chinese and Western medicine.

关 键 词：肝脾相关 肠道菌群 肝硬化腹水 自发性细菌性腹膜炎 

分 类 号：R57[医药卫生—消化系统]