摘要
肠易激综合征(IBS)是一种慢性功能性肠道疾病,通常与压力相关,由许多腹部症状确定,其中最重要的是慢性内脏腹痛。因此,IBS通常会损害患者的生活质量,而且,它经常与抑郁和焦虑症状有关。IBS的治疗主要集中在症状缓解上。不幸的是,到目前为止,还没有发现有效的治疗方法。因此,制定新的抗IBS干预措施非常重要。本简要综述的目的是总结目前在IBS治疗中补充营养保健品的证据,包括益生菌,益生元,合生元,丁酸盐,棕榈酰乙醇酰胺和初乳。由于营养保健品是非处方产品,该评价的目的是更好地告知药物化学家和从业者可能的有益机制以及这些疗法提供的许多优点。所有这些化合物都呈现出多种作用机制,例如恢复生理微生物群,增强胃肠道屏障的功能,免疫调节,抗炎和抗伤害感受活性。从文献数据中可以看出,这些化合物不仅能够改善IBS症状,而且主要表现出最佳的安全性和耐受性。虽然必须进行广泛的研究以加强迄今为止有限的临床试验的证据,但考虑到处方药对特殊人群患者的警告,如老年人,年轻人或需要联合治疗的患者,补充这些化合物可能是有用的。最后,营养保健方法可以提高对治疗的依从性,因为与药物治疗相比,营养保健方法更容易被患者接受。
关键词: IBS,营养保健品,益生菌,益生元,合生元,丁酸盐,棕榈酰乙醇酰胺和初乳。
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