刺激性肠综合征:一个鲜为人知的有机肠病?
Nicholas J Talley1, Robin Spiller
1Department of Medicine, University of Sydney, NSW, Australia. ntalley@med.usyd.edu
Lancet (London, England)
|September 21, 2002
概括
刺激性肠综合征 (IBS) 影响10%的成年人,导致生活质量下降. 虽然治疗方法不令人满意,但诸如认知行为治疗和低剂量三环抗抑郁药等疗法在控制IBS症状方面表现有前途.
科学领域:
- 胃肠病学 胃肠病学
- 神经胃肠病学 神经胃肠病学
- 精神病学是一个精神病学.
背景情况:
- 刺激性肠综合征 (IBS) 影响10%的成年人,主要是女性,导致生活质量下降和医疗保健费用大幅增加.
- 家庭聚类表明,遗传倾向和家族内学习都起着作用.
- 关键特征包括内脏过敏和潜在的中心处理干扰在 afferent信号解释.
研究的目的:
- 审查当前对刺激性肠综合征 (IBS) 病理生理学,诊断和治疗的理解.
- 突出IBS对患者生活质量和医疗保健系统的影响.
- 探索IBS各种治疗干预措施的有效性.
主要方法:
- 对IBS病理生理学,遗传学和环境因素研究的文献综述.
- 基于症状和没有警报指标的诊断标准的分析.
- 对药理和非药理干预的治疗结果的评估.
主要成果:
- IBS的特点是内脏过敏和感官信号的改变中心处理.
- 环境因素,如感染,炎症和慢性压力发挥作用.
- 低剂量的三环抗抑郁药和认知行为疗法显示出长期益处的潜力.
结论:
- 目前的IBS治疗仍然不令人满意,强调需要改进治疗策略.
- 强大的医生与患者关系对于管理IBS症状恶化至关重要.
- 需要进一步的研究来阐明IBS中遗传和环境因素的复杂相互作用.
相关概念视频
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