心理干预辅助治疗非糜烂性反流病的概况  

Psychological intervention for auxiliary treatment of nonerosive reflux disease

作　　者：陈广文[1] 谢胜[2] 廉永红[2] 陈家坤[1] 

机构地区：[1]广西中医药大学研究生学院,广西壮族自治区南宁市530001 [2]广西中医药大学第一附属医院,广西壮族自治区南宁市530001

出　　处：《世界华人消化杂志》2016年第32期4375-4380,共6页World Chinese Journal of Digestology

基　　金：国家自然科学基金资助项目;No.81460723~~

摘　　要：非糜烂性反流病(non-erosive reflux disease,NERD)是胃食管反流病的一个独立亚型,常合并焦虑和/或抑郁状态,严重影响NERD患者的生活质量.本文从NERD的发病机制、N E R D伴焦虑和/或抑郁状态的发病及治疗情况、心理干预辅助治疗(包括建立良好的治疗关系、心理暗示、健康教育、社会支持等方法)等方面总结了NERD的研究概况,并指出目前对NERD的认识及治疗存在的不足,提出在对NERD的临床及研究中,应注意患者的精神心理因素并进行干预;对心理干预的作用机制深入研究,形成统一认识;进行必要流行病学及循证医学研究以探讨N E R D伴焦虑和/或抑郁状态心理辅助干预规范,从而提高NERD治疗效果,改善患者生活质量.Non-erosive reflux disease（NERD） is an independent subtype of gastroesophageal reflux disease,and it is often concomitant with anxiety and/ or depression,which seriously influence the patient＇s quality of life.This article summarizes the research progress of NERD with regard to the pathogenesis of NERD and NERD with anxiety and/ or depression,the effect of common treatments on NERD,and psychological intervention for auxiliary treatment of NERD（including establishing a good relationship between doctors and patients,psychological hints,health education,social support and so on）.Some deficiencies in the understanding and treatment of NERD are pointed out.In addition,the following suggestions are put forward：more attention should be paid to the psychological factors of patients and psychological intervention should be adopted in the clinical practice and study of NERD;further research should be made on the mechanism of psychological intervention so as to form a unified understanding;epidemiological research and evidence-based medicine research should be carried out to explore the psychological intervention norms on NERD with anxiety and/ or depression,in order to improve the curative effect of NERD and the quality of life of patients.

关 键 词：胃食管反流病 心理状况 焦虑和/或抑郁状态 心理干预 

分 类 号：R571[医药卫生—消化系统]