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生活方式因素与静止炎性肠病中的腹痛相关
Matthew D Coates1,2, Shannon Dalessio3, Vonn Walter4
1Division of Gastroenterology and Hepatology, Department of Medicine, Pennsylvania State University College of Medicine, Hershey, PA, USA. mcoates@pennstatehealth.psu.edu.
生活方式因素,如运动和性活动减少,与静止性炎症性肠病 (IBD) 的腹痛有关. 了解这些联系可能有助于控制克罗恩病和性结肠炎患者的疼痛.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 健康心理学 心理健康心理学
背景情况:
- 生活方式因素 (饮食,运动,物质使用,性活动) 影响炎症性肠病 (IBD) 的并发症.
- 在IBD中,生活方式在腹痛产生中的作用仍然不太清楚.
研究的目的:
- 为了研究生活方式因素和静止IBD (QI-IBD) 患者的腹痛之间的关系.
主要方法:
- 来自机构注册表的177名静止IBD患者的回顾性分析 (2017-2022年).
- 数据包括人口,临床,内镜,实验室和调查信息.
- 患者被分为具有疼痛的静止性IBD (QI-IBD) 和没有疼痛的 (QNP-IBD).
主要成果:
- 52.5%的患者经历了静止性IBD与疼痛 (QI-IBD).
- QI-IBD患者更有可能患有焦虑/抑郁症并使用抗抑郁药/抗焦虑药.
- QI-IBD患者不太可能定期炼或参与每月的性活动.
- 抗抑郁药/抗焦虑药的使用 (OR 2.72) 和每月的性活动 (OR 0.48) 独立地与QI-IBD相关.
结论:
- 减少运动和性活动与静止IBD的腹痛有显著的关联.
- 心理健康因素,如焦虑/抑郁和相关药物使用与静止IBD的疼痛有关.
- 需要进一步的研究,以阐明这些生活方式因素与静止性IBD的腹痛相关的确切机制.
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