刺激性肠综合征的肠导向催眠疗法:系统性审查和元分析
Elizabeth C Adler1, Emma H Levine2, Allison N Ibarra1
1Department of Gastroenterology, Kaiser Permanente, San Francisco, San Francisco, California, USA.
Neurogastroenterology and motility
|April 3, 2025
概括
肠道导向的催眠疗法有效地改善了刺激性肠综合征 (IBS) 的症状,特别是疼痛. 肠导向性催眠疗法 (GDH) 的小组治疗显示出对全球IBS症状减少有显著的益处.
科学领域:
- 胃肠病学 胃肠病学
- 精神病体医学是一种精神病体医学.
- 基于证据的医学基于证据的医学.
背景情况:
- 刺激性肠综合征 (IBS) 是一种常见的胃肠疾病.
- 肠导向性催眠疗法 (GDH) 对IBS治疗有希望,但先前的研究受到小样本大小和各种交付方法的限制.
- 本系统性审查和元分析评估了GDH对IBS症状的疗效,并探讨了传递特征的影响.
研究的目的:
- 系统地审查和分析肠道导向催眠疗法对刺激性肠道综合征 (IBS) 症状的疗效.
- 调查肠导向催眠疗法的不同交付特征对IBS相关结果的影响.
- 评估肠道导向催眠疗法在改善全球IBS症状和疼痛方面的有效性.
主要方法:
- 在PubMed,Embase和Web of Science数据库中搜索相关研究.
- 选的标题,摘要和全文文章用于包含标准.
- 进行了系统性审查和元分析,包括Cochrane偏差风险评估,以评估GDH对全球IBS症状和疼痛的影响,并对传递特征进行亚组分析.
主要成果:
- 12项涉及1158名IBS患者的研究符合纳入标准;8项提供了用于元分析的数据.
- 与对照组相比,肠导向的催眠疗法显著改善了全球IBS症状 (SMD 0.73) 和疼痛 (SMD 0.25).
- 高容量和群体GDH输送显示了全球IBS症状的统计显著改善 (SMD分别为0.56和0.41).
结论:
- 肠导向性催眠疗法是一种有效的干预措施,可以改善刺激性肠综合征的整体症状.
- 与标准治疗相比,GDH在改善与IBS相关的疼痛症状方面表现出特别高的疗效.
- 与标准干预相比,群体交付的GDH是减少全球IBS症状的有效方式.
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