中国神经性贪食诊疗专家共识  

Chinese Expert Consensus on the Diagnosis and Treatment of Bulimia Nervosa

作　　者：中华医学会心身医学分会进食障碍协作学组 中华医学会精神医学分会进食障碍研究协作组 陈妍[2] 陈涵 刘兰英 孔庆梅[3] 乔慧芬[4] 张岚[5] 李雪霓[3] 匡桂芳 张大荣[3] 栗克清[7] 王振[2] 陈珏[2] Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association;Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association;CHEN Yan;CHEN Han;LIU Lanying;KONG Qingmei;QIAO Huifen;ZHANG Lan;LI Xueni;KUANG Guifang;ZHANG Darong;LI Keqing;WANG Zhen;CHEN Jue(不详;Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100091,China;Nanjing Brain Hospital Affiliated to Nanjing Medical University,Nanjing 210024,China;Mental Health Center,West China Hospital,Sichuan University,Chengdu 610041,China;Women and Children's Hospital,Qingdao University,Qingdao 266075,China;Hebei Mental Health Center,Baoding 071000,China)

机构地区：[1]不详 [2]上海交通大学医学院附属精神卫生中心,上海市200030 [3]北京大学第六医院、北京大学精神卫生研究所、国家卫生健康委员会精神卫生学重点实验室(北京大学)国家精神心理疾病临床医学研究中心(北京大学第六医院),北京市100091 [4]南京医科大学附属脑科医院,江苏省南京市210024 [5]四川大学华西医院心理卫生中心,四川省成都市610041 [6]青岛大学附属妇女儿童医院,山东省青岛市266075 [7]河北省精神卫生中心,河北省保定市071000

出　　处：《中国全科医学》2023年第36期4487-4497,共11页Chinese General Practice

基　　金：国家自然科学基金面上项目(82071545);上海市科学技术委员会医学创新研究专项项目(20Y11906500);上海市卫生健康委员会面上项目(202140092);医工交叉重点项目(YG2022ZD026);上海市精神心理疾病临床医学研究中心(19MC1911100)。

摘　　要：神经性贪食是以反复发作的暴食和防止体质量增加的补偿行为,以及对体形和体质量过度关注为特征的一类进食障碍。神经性贪食患者存在紊乱的进食行为,导致电解质异常,出现胃肠道疾病、代谢和内分泌紊乱等躯体问题;其次常共病双相情感障碍、抑郁症、物质使用障碍等多种精神障碍,需引起重视。然而,目前在中国对于神经性贪食,乃至进食障碍不能早期识别和诊治,导致病程迁延。因此,在中华医学会心身医学分会进食障碍协作学组的组织下,联合中华医学会精神医学分会进食障碍研究协作组,由12名专家包括精神科医师和循证医学专家,组成专家组,基于循证医学证据、国内外指南与专家共识、专家经验等制订本专家共识,以期提高国内精神科专业人员和全科医师对神经性贪食的识别和诊治水平。Bulimia nervosa is a type of eating disorders characterized by recurrent binge eating and compensatory behaviors to prevent weight gain,as well as excessive concern about body shape and mass.The patients with bulimia nervosa present with disturbed eating behavior,resulting in electrolyte abnormalities,gastrointestinal disorders,metabolic and endocrine disorders and other physical problems;secondly,the bulimia nervosa patients are often co-morbid with a variety of mental disorders such as bipolar disorder,depression,substance use disorders,which need to be taken seriously.However,bulimia nervosa and even eating disorders cannot be recognized and diagnosed at an early stage in China,which leads to a prolonged course of the disease.Therefore,under the organization of the Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association,in conjunction with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association,this expert consensus was formulated by 12 experts in the field of psychiatry and evidence-based medicine based on evidence-based medicine,domestic and foreign guidelines and expert consensus and expert experience,in order to improve the recognition,diagnosis and treatment of bulimia nervosa by psychiatric professionals and general practitioners in China.

关 键 词：神经性贪食 心理治疗 药物治疗 诊疗指南 指南 

分 类 号：R442.9[医药卫生—诊断学]