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标题：Effect of administering a multi-species probiotic mixture on the changes in fecal microbiota and symptoms of irritable bowel syndrome: a randomized, double-blind, placebo-controlled trial
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作者：Hyuk Yoon ; Young Soo Park ; Dong Ho Lee 等
期刊名称：Journal of Clinical Biochemistry and Nutrition
印刷版ISSN：0912-0009
电子版ISSN：1880-5086
出版年度：2015
卷号：57
期号：2
页码：129-134
DOI：10.3164/jcbn.15-14
出版社：The Society for Free Radical Research Japan
摘要：We assessed the effect of multi-species probiotic mixture on the changes in fecal microbiota and irritable bowel syndrome (IBS) symptoms. Eighty-one IBS patients were randomly assigned to receive either probiotic mixture ( n = 39; containing Lactobacillus acidophilus , L. rhamnosus , Bifidobacterium breve , B. actis , B. longum , and Streptococcus thermophilus ) or placebo ( n = 42) for 4 weeks. A questionnaire regarding general symptom relief was administered. The change in total symptom scores (sum of 10 IBS symptoms) and subtotal scores in 4 domains (pain, constipation, diarrhea, and bloating/gas) were evaluated. The change in fecal flora was determined by quantitative real-time PCR. The concentration of probiotic strains significantly increased after ingestion in probiotics group ( B. bifidum , p = 0.043; B. lactis , p <0.001; L. acidophilus , p = 0.016; L. rhamnosus , p <0.001). The proportion of patients with adequate symptom relief was higher in probiotics group than in placebo group (74.4% vs 61.9%, p = 0.230). The decrease in total symptom score over time was not significantly different between the groups ( p = 0.703). Among subtotal scores of 4 IBS symptom domains, the time effect was significantly different for diarrhea-symptom score between the groups ( p = 0.017). A 4-week administration of multi-species probiotic mixture significantly increased the fecal concentration of most probiotic strains and improved diarrhea-symptom scores in IBS patients.
关键词：probiotics;irritable bowel syndrome;diarrhea;treatment;fecal microbiota