儿童功能性胃肠病诊治进展  

Progress in diagnosis and treatment of childhood functional gastrointestinal disorders

作　　者：黄迪[1] 李敏[1] 高翔羽[1] 

机构地区：[1]南京中医药大学附属徐州市中心医院儿童诊疗中心,江苏徐州221009

出　　处：《中华消化病与影像杂志（电子版）》2017年第6期261-269,共9页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：功能性胃肠病(functional gastrointestinal disorders,FGIDs)是一组慢性或反复发作的、与心身因素相关的、消化道功能紊乱性非器质性疾病。2016年5月"罗马Ⅳ-功能性胃肠病"新标准发布,将FGIDs全新定义为肠-脑互动紊乱。各类临床症状的产生,主要是基于繁多复杂的"生物-心理-社会"病因的交互作用。儿童常见的FGIDs包括周期性呕吐综合征、功能性恶心与功能性呕吐、功能性消化不良、肠易激综合征、腹型偏头痛、非特异性功能性腹痛、功能性便秘等,大多可以主要基于症状做出初步诊断,但目前这类疾病几乎所有治疗都是对症的,没有太多"特效药物",治疗后复发率较高,因此,需要正规、长期、随访、综合治疗。Functional gastrointestinal disorders （FGIDs） are a gToup of chronic or recurrent, related with psychosomatic factors, gastrointestinal dysfunction, non-organic diseases. ＂ Rome IV-functional gastrointestinal disease＂ new standards were published in may 2016, and the new definition of FGIDs was enteric-brain interaction disorder. The emergence of various clinical symptoms is mainly based on the interaction of various and complicated＂ bio-psycho-social＂ pathogeny. FGIDs of children mainly include cyclic vomiting syndrome ,functional nausea and functional vomiting, functional dyspepsia, irritable bowel syndrome, abdominal migraine, functional abdominal pain-not otherwise specified, and functional constipation. A primary diagnosis can be made from clinical signs of FGIDs in children. But now almost all the treatments of the disease are based on symptoms, no much＂ specific medicine＂, and with a high recurrence rate. Therefore normal, long-term, follow-up and comprehensive treatments are needed.

关 键 词：功能性胃肠病 儿童 药物治疗 心理疗法 

分 类 号：R725.7[医药卫生—儿科]