肠-大脑相互作用的儿科疾病的脆弱性因素以及对功能障碍的影响
Beate Beinvogl1, Elizabeth Burch1, Julie Snyder1
1Center for Motility and Functional Gastrointestinal Disorders, Division of Pediatric Gastroenterology Boston Children's Hospital, Boston, Massachusetts, USA.
Journal of pediatric gastroenterology and nutrition
|July 15, 2025
概括
患有疼痛主导性肠脑相互作用障碍 (p-DGBI) 的儿科患者通常具有多种脆弱性因素,影响其功能障碍. 感染是常见的触发因素,但其他因素也会导致这些慢性疼痛疾病的发展.
科学领域:
- 胃肠道学和心理学
- 儿科健康 儿科健康
- 慢性疼痛研究 慢性疼痛研究
背景情况:
- 疼痛主导的肠脑相互作用障碍 (p-DGBI) 是儿童的复杂疾病.
- 了解脆弱性因素对于有效管理儿科慢性疼痛至关重要.
研究的目的:
- 确定儿科p-DGBI患者的患病率和脆弱性因素的数量.
- 探索这些因素,疼痛严重程度和功能障碍之间的关系.
主要方法:
- 在儿科三级保健中心进行了回顾性横截面研究.
- 包括252名被诊断患有功能性腹痛,刺激性肠综合征或功能性消化不良的患者.
- 分析报告的脆弱性因素 (早期生活事件,心理健康,家族病史,慢性疼痛) 和触发事件.
主要成果:
- 91.3%的患者报告至少有一个脆弱性因素 (平均每名患者2.2个).
- 较多的脆弱性因素与功能障碍增加相关 (p=0.004).
- 胃肠道感染是最常见的触发因素 (41.0%),其次是心理压力和其他感染.
结论:
- 这些发现支持了儿科p-DGBI的生物心理社会模型,突出了对生物和环境因素的易感性.
- 除了感染之外,其他各种触发因素也会导致p-DGBI的症状出现.
- 多种脆弱性因素对功能结果的累积影响需要进一步调查.
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