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Research progress in the incidence and treatment of chemotherapy nausea and vomiting and their correlation with intestinal flora |
YANG Qiuyan1 XIAO Haijuan2 MA Yuyuan1 LI Yanan1 ZHAO Jingtao1 QIN Yue1 |
1.Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712046, China; 2.Department of Oncology, Affiliated Hospital of Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712000, China |
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Abstract Nausea and vomiting are common side effects of chemotherapy, which can also lead to poor quality of life, nutritional deficiency, inflammation, immunity, and other adverse consequences. At present, western antiemesis drugs have 5-hydroxytryptamine 3 receptor antagonists, neurokinin 1 receptor antagonists, glucocorticoids, and so on. Although they have certain effects, they will produce other adverse reactions. By reviewing relevant literatures, it is found that intestinal flora is closely related to the digestive tract reaction caused by chemotherapy and treatment. This paper reviews the western medicine mechanism of nausea and vomiting caused by chemotherapy, the correlation between traditional Chinese medicine theory and intestinal flora, and the regulation of intestinal flora through spleen-strengthening Chinese medicine prescriptions, and probiotics to treat nausea and vomiting caused by chemotherapy. Some suggestions are put forward for the problems in this research field so as to provide reference for clinical application and clinical trials.
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[1] Piechotta V,Adams A,Haque M,et al. Antiemetics for adults for prevention of nausea and vomiting caused by moderately or highly emetogenic chemotherapy:a network meta-analysis [J].Cochrane Database Syst Rev,2021,11(11):CD012775. [2] 陈晓慧,鱼芳,陈志盛,等.化疗引起的消化道黏膜炎与肠道菌群相关性的研究进展[J].中国微生态学杂志,2016, 28(8):991-993. [3] 赵耀中,聂克.连翘防治化疗性恶心呕吐的机制研究进展[J].广东药科大学学报,2021,37(6):162-166. [4] 孟琦,张恬,李梦皎,等.连翘防治化疗性恶心呕吐及其抗炎活性研究[J].中药药理与临床,2019,35(4):125-130. [5] 张玉.化疗所致恶心呕吐的药物防治指南[J].中国医院药学杂志,2022,42(5):457-473. [6] Razvi Y,Chan S,McFarlane T,et al. ASCO,NCCN,MASCC/ ESMO:a comparison of antiemetic guidelines for the treatment of chemotherapy-induced nausea and vomiting in adult patients [J]. Support Care Cancer,2019,27(1):87-95. [7] Osaki A,Inoue K,Sakai H,et al. A dose-finding randomized Phase Ⅱ study of oral netupitant in combination with palono- setron 75 mg intravenous for the prevention of chemotherapy-induced nausea and vomiting in Japanese patients receiving highly emetogenic chemotherapy [J]. Jpn J Clin Oncol,2019,49(2):121-129. [8] Kuziel GA,Rakoff-Nahoum S. The gut microbiome [J].Curr Biol,2022,32(6):R257-R264. [9] Roshchina VV. New Trends and Perspectives in the Evolution of Neurotransmitters in Microbial,Plant,and Animal Cells [J]. Adv Exp Med Biol,2016,874:25-77. [10] 宋红利.健脾解毒方加减对结直肠癌患者临床症状、肠道菌群与T淋巴细胞亚群变化的影响[J].辽宁医学杂志,2021,35(6):44-47. [11] 程玉莲.健脾解毒方加减在脾气亏虚证晚期结直肠癌化疗患者中的应用效果[J].中国肛肠病杂志,2021,41(8):11-13. [12] 蔡巧利,陈晓雯,宋翔,等.益生菌对肠道黏膜屏障的影响[J].饲料研究,2022,45(13):141-144. [13] Wickham RJ. Revisiting the physiology of nausea and vomiting-challenging the paradigm [J]. Support Care Cancer,2020,28(1):13-21. [14] Gupta K,Walton R,Kataria SP. Chemotherapy-Induced Nausea and Vomiting:Pathogenesis,Recommendations,and New Trends [J]. Cancer Treat Res Commun,2021,26:100278. [15] 董为为,唐艳,丛丽敏,等.化疗对肠道菌群及血清5-羟色胺水平的影响[J].中国微生态学杂志,2017,29(5):615-618. [16] 周海辉,张海霞,葛卫红.化疗致恶心呕吐的研究进展[J].中国药师,2018,21(7):1262-1265. [17] Liu ZY,Xie WB,Liang X,et al. Effects of polaprezinc on gastric mucosal damage and neurotransmitters in a rat model of chemotherapy-induced vomiting [J]. J Int Med Res,2018,46(6):2436-2444. [18] 杨凡,刘莲,曹邦伟.化疗相关恶心呕吐的发生机制及治疗药物的研究进展[J].中国医院用药评价与分析,2017,17(8):1013-1016. [19] 李秀川,刘春芳,杨婷婷,等.乳腺癌病人焦虑抑郁情绪与肠道菌群的相关性研究[J].肠外与肠内营养,2021,28(5):267-274. [20] 罗江钊.肠道菌群在大脑功能和情绪调节上可发挥作用[J].中国食品学报,2020,20(12):329-330. [21] 田成,袁岸龙.胃肠道菌群与肿瘤化疗药物相关的研究进展[J].中国医药导报,2019,16(16):37-41. [22] 邵晓姣,成泽东.从中医阴阳五行理论谈肠道菌群[J].辽宁中医药大学学报,2013,15(7):136-137. [23] 龚璐天,宋卓,许云,等.基于正邪平衡理论探讨肠道菌群在肿瘤免疫治疗中的双向作用[J].陕西中医,2023, 44(6):751-754. [24] 张玉,张军峰,杨亚平.近十五年来肠道微生态的中医药研究概况[J].辽宁中医杂志,2016,43(11):2442-2445. [25] 陈国森,姬永宽,黄钲淇,等.基于伏邪理论探讨对菌群失调致溃疡性结肠炎发病的认识[J].中国中西医结合消化杂志,2022,30(10):743-746,752. [26] 徐波,黄小英,岳仁宋.基于“内伤伏邪”理论探讨肠道菌群紊乱致糖尿病发病的机理[J].成都中医药大学学报,2020,43(4):19-21,26. [27] 程越,于漫,王彩霞.基于脾胃学说指导下的肠道微生态中医本质探讨[J].时珍国医国药,2020,31(8):1946- 1949. [28] 武鑫,赵付雅,孙加玉,等.肠道菌群与肿瘤化疗之间的互作关系[J].中国微生态学杂志,2021,33(2):242-245, 249. [29] 殷琳,夏文睿,黄国鑫,等.中药-肠道菌群互作与宿主自身代谢免疫稳态相关性的研究进展[J].中草药,2022, 53(8):2526-2538. [30] Feng N,Wang S,Liu C,et al. A network meta-analysis to evaluate the efficacy of traditional Chinese medicine on intestinal flora in patients with gastrointestinal canceret [J]. Front Genet,2022,13:1069780. [31] Zhang X,Qiu H,Li C,et al. The positive role of traditional Chinese medicine as an adjunctive therapy for cancer [J]. Biosci Trends,2021,15(5):283-298. [32] 王剑新,曹亮,韩娟,等.健脾解毒方加减联合FOLFOX4方案对结直肠癌化疗患者的临床疗效[J].中成药,2021, 43(11):3258-3261. [33] 李华,郭丽,憨镔,等.参苓白术散化裁对胃癌术后化疗患者肠道菌群、肠屏障和免疫功能的调节作用分析[J].肿瘤药学,2020,10(4):477-482. [34] 吴娟,滕钰浩,董伟,等.健脾养胃方加减对胃癌化疗患者肠道菌群的影响[J].中医杂志,2019,60(6):497-502. [35] Liewska K,Markowiak-Kope P,Liewska W. The role of probiotics in cancer prevention [J]. Cancers,2020,13(1):20. [36] 陈文杰,魏静,陈廷涛.益生菌对癌症治疗副作用的改善效果:回顾与展望[J].四川大学学报(医学版),2022, 53(3):532-537. [37] 张艺璇,周秀彦,高湘旻.益生菌干预对结肠癌患者术后化疗并发预后及肠道菌群的影响[J].现代消化及介入诊疗,2020,25(6):768-771. [38] 孟艳,翟小颖,张楠,等.不同种类益生菌应用于儿童ALL化疗的疗效观察[J].中国妇幼健康研究,2021,32(10):1513-1518. [39] 王佳慧,张贡献,牛腾腾.微生态制剂对进展期胃癌术后化疗患者化疗不良反应及肠道菌群的影响[J].中国微生态学杂志,2022,34(9):1071-1074,1078. |
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