中国神经性厌食症诊疗专家共识  

Chinese Expert Consensus on the Diagnosis and Treatment of Anorexia 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 陈涵 陈妍[2] 韩慧琴 李雪霓[3] 张岚[4] 孔庆梅[3] 乔慧芬[5] 匡桂芳 孙建琴[7] 虞阳[7] 金富锐[8] 蒋晶晶[9] 张大荣[3] 栗克清[10] 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 Han;CHEN Yan;HAN Huiqin;LI Xueni;ZHANG Lan;KONG Qingmei;QIAO Huifen;KUANG Guifang;SUN Jianqin;YU Yang;JIN Furui;JIANG Jingjing;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;Mental Health Center,West China Hospital,Sichuan University,Chengdu 610041,China;Nanjing Brain Hospital Affiliated to Nanjing Medical University,Nanjing 210024,China;Women and Children's Hospital,Qingdao University,Qingdao 266034,China;Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;International Peace Maternity&Child Health Hospital of China Welfare Institute,Shanghai 200030,China;Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,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]四川大学华西医院心理卫生中心,四川省成都市610041 [5]南京医科大学附属脑科医院,江苏省南京市210024 [6]青岛大学附属妇女儿童医院,山东省青岛市266034 [7]复旦大学附属华东医院,上海市200040 [8]中国福利会国际和平妇幼保健院,上海市200030 [9]复旦大学附属中山医院,上海市200032 [10]河北省精神卫生中心,河北省保定市071000

出　　处：《中国全科医学》2024年第5期509-520,共12页Chinese General Practice

基　　金：国家自然科学基金项目面上项目(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：神经性厌食症是以自我饥饿、体质量显著减轻和营养不良为特征的一类进食障碍。在所有精神疾病中,神经性厌食症死亡率最高,其会导致严重的精神病理症状和危及生命的医疗并发症。然而,目前在中国,对于神经性厌食症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16名医学专家基于循证医学证据、国内外指南与专家共识、专家经验等制定本专家共识,以期提高国内专业人员对神经性厌食症的识别和诊治水平。Anorexia nervosa(AN)is a type of eating disorders characterized by self-starvation,significant loss of body mass,and malnutrition.AN has the highest mortality rate among all psychiatric disorders,leading to severe psychopathologic symptoms and life-threatening medical complications.However,AN cannot be recognized and diagnosed early in China,resulting in 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,together with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association,this expert consensus was formulated by 16 medical experts based on evidence-based medical evidence,domestic and international guidelines and expert consensus,expert experience,etc.,in order to improve the recognition,diagnosis and treatment of AN among domestic professionals.

关 键 词：神经性厌食 营养治疗 心理治疗 药物治疗 专家共识 

分 类 号：R749.92[医药卫生—神经病学与精神病学]