认知行为疗法对肠易激综合征患者影响的meta分析  

作　　者：钱佳微 史亚楠[1] 孙秋华[1] 

机构地区：[1]浙江中医药大学,310023

出　　处：《浙江临床医学》2019年第7期952-955,共4页Zhejiang Clinical Medical Journal

摘　　要：目的系统评价认知行为疗法对肠易激综合征(IBS)患者的影响。方法计算机检索Pubmed、Embase、Web of Science、Cochrane Library、EBSCO、万方和中国知网等数据库中有关认知行为疗法对肠易激综合征患者影响的随机对照试验(RCT)。经筛选文献、提取资料、质量评价后,采用RevMan5.3软件进行Meta分析。结果共纳入16篇RCT文献。Meta分析结果显示,在干预周期结束时,在对照措施的基础上开展认知行为疗法对IBS患者胃肠道症状(GSRS-IBS评分),IBS病情严重程度(IBS-SSS评分)、抑郁和焦虑情绪均具有改善作用。结论经认知行为疗法干预后可有效改善肠易激综合征患者的胃肠道症状,缓解病情严重程度,减轻抑郁和焦虑情绪。Objective To evaluate the effects of cognitive behavioral therapy on the bowel symptoms, quality of life and psychological states in patients with irritable bowel syndrome by meta-analysis. Methods Randomized controlled trials ( RCTs ) of cognitive behavioral therapy for patients with irritable bowel syndrome ( IBS ) were searched via Pubmed, Embase, Web of Science, Cochrane Library, EBSCO, Wanfang and CNKI. After screening the bterature, extracting data, and evaluating the quality of studies, RevMan 5.3 software was used for meta-analysis. Results Totally 16 RCTs were included. Results of meta-analysis showed that, at the end of the intervention period, based on the control measures, the gastrointestinal symptoms ( GSRS-IBS score ), IBS severity ( IBS-SSS score ), depression and anxiety were improved by cognitive behavioral therapy in patients with IBS. Conclusion Cognitive behavioral therapy can improve the gastrointestinal symptoms of IBS patients, relieve depression and release anxiety.

关 键 词：认知行为疗法 肠易激综合征 META分析 

分 类 号：R749.7[医药卫生—神经病学与精神病学]