avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2013-0-1-14-18avk-171Research ArticleОБЩЕЕ ДЕЛОЭФФЕКТИВНОСТЬ КОМПЛЕКСНЫХ ПРОБИОТИКОВ ПРИ ЗАПОРАХ У БЕРЕМЕННЫХ ЖЕНЩИНЭФФЕКТИВНОСТЬ КОМПЛЕКСНЫХ ПРОБИОТИКОВ ПРИ ЗАПОРАХ У БЕРЕМЕННЫХ ЖЕНЩИНВяловС. С.ВяловС. С.

кафедра общей врачебной практики, г. Москва

кафедра общей врачебной практики, г. Москва

editor@medarhive.ruБакулинИ. Г.БакулинИ. Г.

кафедра гастроэнтерологии

кафедра гастроэнтерологии

ХурасеваА. Б.ХурасеваА. Б.

кафедра акушерства и гинекологии

кафедра акушерства и гинекологии

ЯковлевА. А.ЯковлевА. А.

факультет повышения квалификации специалистов

факультет повышения квалификации специалистов

ГБОУ ВПО «Российский университет дружбы народов»РоссияГБОУ ВПО «Российский университет дружбы народов»Russian FederationГБУЗ «Центральный научно-исследовательский институт гастроэнтерологии»; ФГБОУ ВПО «Московский государственный университет пищевых производств»; Медицинский институт усовершенствования врачейРоссияГБУЗ «Центральный научно-исследовательский институт гастроэнтерологии»; ФГБОУ ВПО «Московский государственный университет пищевых производств»; Медицинский институт усовершенствования врачейRussian FederationГОУ ВПО «Курский государственный медицинский университет»РоссияГОУ ВПО «Курский государственный медицинский университет»Russian FederationГОУ ВПО «Ростовский государственный медицинский университет»РоссияГОУ ВПО «Ростовский государственный медицинский университет»Russian Federation201328022013011418Copyright © Вялов С.С., Бакулин И.Г., Хурасева А.Б., Яковлев А.А., 20132013Вялов С.С., Бакулин И.Г., Хурасева А.Б., Яковлев А.А.Вялов С.С., Бакулин И.Г., Хурасева А.Б., Яковлев А.А.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/171

Сегодня известно, что почти каждая третья беременная женщина страдает от запоров, которые, несомненно, снижают качество жизни. Генез запоров при беременности более или менее изучен. Однако поиск новых фармакоагентов для коррекции запоров ограничен понятными рамками — препарат должен быть безопасен для здоровья беременной женщины и плода. Существующие или предлагаемые методы коррекции зачастую имеют слабую доказательную базу либо не могут широко использоваться из-за нежелательных явлений у женщин (боли, диарейный синдром). Все вышесказанное требует поиска новых эффективных методов профилактики и коррекции запоров. В связи с тем, что запоры нередко возникают по причине нарушения нормального состава микрофлоры кишечника, в ближайшей перспективе видится более широкое применение пробиотиков для коррекции запоров у беременных. В статье приводится теоретическое обоснование применения пробиотиков у беременных женщин с запорами и доказательная база эффективного и безопасного применения некоторых пробиотических штаммов во время беременности.

Today we know that almost one of three pregnant women suffer from constipation, which undoubtedly reduces quality of life. Genesis of constipation during pregnancy is more or less studied. However, searching for new agents to correct constipation is limited by clear framework — drugs must be safe for the health of the pregnant woman and fetus. Existing or proposed correction methods often have weak evidence base or can't be widely used due to adverse events in women (pain, diarrhea syndrome). All of this requires search for new effective methods of prevention and correction of constipation. Constipation often occur due to disruption of the intestinal microflora in the short term seems more widespread use of probiotics for the correction of constipation in pregnancy. The article provides a theoretical basis for the use of probiotics in pregnant women with constipation and evidence of effective and safe use of certain probiotic strains during pregnancy.

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The authors declare that there are no conflicts of interest present.