空腹感觉和令人烦的饥饿感觉:在患有消化不良的患者中,有两个相关的临床表现
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Francisco Alejandro Félix Téllez1, José María Remes Troche1, Ana Luisa Mateos Viramontes2
1Gastrointestinal Motility Laboratory, Medical Biological Research Institute, University of Veracruz, Veracruz, Veracruz, Mexico.
Digestive diseases and sciences
|March 11, 2025
概括
两种经常被忽视的消化不良症状,空腹感和令人烦的饥饿感,在功能性胃肠道疾病的患者中明显更为常见. 这些感觉与肠-大脑相互作用问题有关.
科学领域:
- 胃肠病学 胃肠病学
- 功能性胃肠道疾病 功能性胃肠道疾病
- 肠-大脑相互作用
背景情况:
- 消化不良症呈现出胃肠症状和诊断挑战,即使符合罗马四号标准.
- 报道不足的症状,如空腹感觉和令人烦的饥饿感觉,在消化不良的人群中没有很好的特征.
研究的目的:
- 为了确定空腹感觉和令人烦的饥饿感觉在消化不良患者的患病率.
- 调查这些症状与肠-大脑相互作用障碍的关联.
主要方法:
- 一项涉及墨西哥西北部1,211名参与者的横截面研究.
- 使用图形图表和7点利克尔特尺度来评估消化不良症状.
- 使用后勤回归来分析症状关联.
主要成果:
- 消化不良的患病率为39.1%,重叠综合征是最常见的表型 (42.7%).
- 43.8%的消化不良患者报告了空腹感觉,而非消化不良患者则为12.6% (p < 0.001).
- 25.4%的消化不良患者报告了令人烦的饥饿感,而非消化不良患者则为5.6% (p < 0.001).
- 这两种症状都与上胃疼痛综合征,食后应急综合征,重叠综合征,焦虑和其他胃肠问题相关.
结论:
- 空腹感和令人烦的饥饿感是普遍存在的,但在消化不良症中经常被忽视.
- 这些症状与功能性胃肠道疾病和肠-大脑相互作用有关.
- 需要进一步的研究来了解机制和临床影响.
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