| 引用本文: |
丁素雨, 孙麦青, 陈文明, 卫岚, 靳晓静, 吴楠楠.基于口-肠微生物轴探讨从肺脾论治变应性真菌性鼻窦炎的诊疗路径[J].湖南中医药大学学报,2026,46(2):342-347[点击复制] |
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| 基于口-肠微生物轴探讨从肺脾论治变应性真菌性鼻窦炎的诊疗路径 |
| 丁素雨,孙麦青,陈文明,卫岚,靳晓静,吴楠楠 |
| (河南中医药大学第二临床医学院, 河南 郑州 450046;河南省中医院/河南中医药大学第二附属医院, 河南 郑州 450002) |
| 摘要: |
| 变应性真菌性鼻窦炎（AFRS）是一种以真菌为变应原的特殊类型鼻窦炎，其特征是鼻窦内存在由嗜酸性粒细胞产生的变应性真菌性黏蛋白，具有易复发、难治愈的特点。口腔菌群与肠道菌群通过多种途径相互作用，共同形成口-肠微生物轴。若口-肠微生物轴失衡，口腔菌群与肠道菌群失衡，机体产生相关代谢产物、免疫因子，诱发免疫反应与炎症反应，进而通过多种途径影响AFRS的发生发展。中医学中“肺与大肠相表里”理论与现代医学“肺-肠轴”理论联系紧密，肠道菌群的功能又与脾的运化功能类似。中医肺脾与口-肠微生物轴有密切联系，其对口-肠微生物轴的平衡具有重要意义。因此，基于口-肠微生物轴理论，从中医肺脾探讨AFRS，为AFRS的治疗提供新的思路与方法，具有一定的临床指导意义。 |
| 关键词: 变应性真菌性鼻窦炎 口-肠微生物轴 肺脾论治 肺与大肠相表里 诊疗路径 |
| DOI：10.3969/j.issn.1674-070X.2026.02.017 |
| 投稿时间：2025-09-06 |
| 基金项目:河南省中医药科学研究专项课题(2018ZY2093,2022ZY1079);河南中医药大学2023年度研究生科研创新能力提升计划项目(2023KYCX048)。 |
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| Diagnosis and treatment pathways for allergic fungal sinusitis by regulating the lung and spleen: a perspective based on the oral-gut microbiome axis |
| DING Suyu, SUN Maiqing, CHEN Wenming, WEI Lan, JIN Xiaojing, WU Nannan |
| (The Second Clinical Medical College, Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China;Henan Province Hospital of TCM/The Second Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan 450002, China) |
| Abstract: |
| Allergic fungal rhinosinusitis (AFRS) is a distinct type of rhinosinusitis where fungi act as allergens. It is characterized by the presence of allergic fungal mucin within the sinuses, produced by eosinophils, and is known for its recurrent and refractory nature.The oral and gut flora interact through various pathways, collectively forming the "oral-gut microbiome axis". Dysbiosis of this axis-an imbalance in the oral and gut flora-can lead to the production of relevant metabolites and immune factors, triggering immune and inflammatory responses. These mechanisms subsequently contribute to the onset and progression of AFRS. The TCM theory of "the lung and large intestine being interior-exteriorly related" closely aligns with the modern medical concept of the "lung-gut axis". Furthermore, the function of the gut flora is analogous to the transportation and transformation functions of the spleen in TCM. Thus, the TCM organs of the lung and spleen are intimately connected to the oral-gut microbiome axis, and their functional state is crucial for maintaining its balance. Therefore, investigating AFRS from the perspective of the oral-gut microbiome axis and the TCM framework of the lung and spleen provides novel insights and therapeutic strategies, holding significant clinical guidance for its treatment. |
| Key words: allergic fungal rhinosinusitis oral-gut microbiota axis treatment based on lung and spleen the lung and the large intestine are interior-exteriorly related diagnostic and treatment pathways |
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