精神心理因素与功能性胃肠病的关系  

Relationship between psychological factors and functional gastrointestinal disorders

作　　者：叶佳媚[1] 陈道荣[1] 

机构地区：[1]重庆医科大学附属第一医院消化内科,重庆400016

出　　处：《胃肠病学和肝病学杂志》2010年第5期475-477,共3页Chinese Journal of Gastroenterology and Hepatology

基　　金：重庆市科委自然科学基金(CSCT2005BB5311)

摘　　要：功能性胃肠病是近年来研究的一个热点,发病率高,临床上常见。精神心理因素在其发病过程中起着重要作用,可能与胃肠道动力和感觉异常的脑肠轴调节障碍有关。联合抗抑郁药及心理治疗功能性胃肠病在改善精神症状的同时,还能明显减轻躯体症状,对健康相关生活质量的改善及降低复发率有不错的效果。因此,精神心理因素在功能性胃肠病中的作用不容忽视,正确理解并加强认识对诊疗的提高尤为重要。Functional gastrointestinal disorders are a hot spot in research of recent years,which are commonly encountered in our clinical practice.Psychological factors play an important role in pathogenesis of functional gastrointestinal disorders and dysfunction of brain-gut axis to dynamic and sensation of gastrointestinal tract.Antidepressant combined with psychological treatment can improve psychic and somatic symptoms,which are effective in improving of health-related quality of life and reducing relapse rate.It is worthy to understand the role of psychological factors in functional gastrointestinal disorders,and we will get a practical advance in clinical practice.

关 键 词：功能性胃肠病 精神心理因素 抗抑郁治疗 心理治疗 

分 类 号：R57[医药卫生—消化系统]