不同处理因素对大鼠肠道菌群的影响
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王东升, Email: wangds0538@sina.com

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Influences of different treatment modalities on intestinal flora in rats
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    目的:探讨抗生素、肠道准备以及饮食对大鼠肠道菌群的影响。 方法:将60只SD大鼠随机分为对照组;单因素处理组(3个亚组:抗生素组,肠道准备组,禁饮食组);双因素处理组(3个亚组:抗生素+肠道准备组,肠道准备+禁饮食组,抗生素+禁饮食组);三因素处理组(抗生素+肠道准备+禁饮食组);手术处理组(2个亚组:肠道准备+抗生素+手术处理+术后早期进食组,肠道准备+抗生素+手术处理+术后禁饮食组)。各组均处理4 d,第5天脱颈椎处死,无菌条件下取回盲部粪便进行细菌培养并计数。 结果:单因素处理组与对照组比较,双因素组与单因素组比较,以及三因素组与双因素组比较,大肠杆菌数量明显增加,双歧杆菌、乳酸杆菌数量明显减少,双歧杆菌/大肠杆菌比值明显降低,差异均有统计学意义(均P<0.05),且含抗生素处理的亚组上述变化较同组中不含抗生素处理的亚组明显(均P<0.05)。术后早期进食组大肠杆菌数量较术后禁饮食组有所减少,而双歧杆菌、乳酸杆菌数量有所增加,差异有统计学意义(P<0.05)。 结论:抗生素、肠道准备以及禁饮食均可引起大鼠肠道菌群失调,其中抗生素的影响最大;处理因素越多,影响越大。术后早期进食对肠道菌群数量的影响小于术后禁饮食。

    Abstract:

    Objective: To investigate the influence of antibiotics, bowel preparation, and food intake on gut bacteria of rats. Methods: Sixty SD rats were randomly divided into the control group, single factor treatment group (containing 3 subgroups: antibiotics group, bowel preparation group and fasting group), two factors treatment group (containing 3 subgroups: antibiotics + bowel preparation group, bowel preparation + fasting group and antibiotics + fasting group), three factors treatment group (antibiotics + bowel preparation + fasting group) and surgical treatment group (containing 2 subgroups: bowel preparation + antibiotics + operation + free diet group and bowel preparation + antibiotics + operation + postoperative fasting group). All groups were treated according to their predefined protocols for 4 days, and on the 5th day, all rats were killed by cervical dislocation and the stools taken from ileocecal junction under sterile conditions were used for bacterial culture and count. Results: The colibacillus number markedly increased, bifidobacterium and lactobacillus number, and bifidobactirium/colibacillus ratio markedly decreased, when the single factor treatment group was compared with the control group, the two factors treatment group was compared with the single factor treatment group, or the three factors treatment group was compared with the two factors treatment group respectively, and all the differences had statistical significances (all P<0.05). Furthermore, the above changes of gut flora in subgroups with antibiotics treatment were more evident than those in the subgroups of the same group without antibiotics treatment (all P<0.05). The colibacillus number was moderately reduced, and bifidobacterium and lactobacillus number in the free diet group was moderately increased compared to the postoperative fasting group, and the difference was statistically significant (P<0.05). Conclusion: Antibiotics, bowel preparation and fasting can all cause intestinal dysbacteriosis in rats, among which antibiotics have the greatest impact. Furthermore, the more numerous the treatment factors, the greater the influence. Early resumption of food intake has less influence on intestinal flora than postoperative fasting.

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王明钊|王亮|周岩冰|王茂龙|王东升.不同处理因素对大鼠肠道菌群的影响[J].中国普通外科杂志,2012,21(5):568-572.
DOI:10.7659/j. issn.1005-6947.2012.05.016

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  • 收稿日期:2011-04-01
  • 最后修改日期:2011-09-26
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  • 在线发布日期: 2012-05-15