老年功能性便秘与焦虑抑郁共病诊治进展  

Progress in diagnosis and treatment comorbidities of functional constipation and anxiety and depression in elder patients

作　　者：郭倩茹(综述) 罗锦秀(审校)[2] GUO Qianru;LUO Jinxiu(The First Clinical Medical College,Shanxi Medical University,Taiyuan,Shanxi 030001,China;Department of Psychiatry,First Hospital of Shanxi Medical University,Taiyuan,Shanxi 030001,China)

机构地区：[1]山西医科大学第一临床医学院,山西太原030001 [2]山西医科大学第一医院精神卫生科,山西太原030001

出　　处：《现代医药卫生》2024年第12期2136-2140,共5页Journal of Modern Medicine & Health

摘　　要：老年功能性便秘患者普遍存在精神心理障碍,尤其焦虑和抑郁障碍的患病率远高于健康人群。焦虑抑郁情绪可通过影响脑肠轴、肠神经系统、激素神经递质及肠道菌群等途径影响胃肠动力和感觉,导致功能性便秘。作者对国内外老年功能性便秘与焦虑抑郁共病研究进行了综述,探讨了心身医学整合模式在其临床实践中的应用,以期为改善老年功能性便秘的临床治疗实践提供参考。Elderly patients with functional constipation generally have mental and psychological disorders,especially the prevalence of anxiety and depression disorders is much higher than that of normal population.Anxiety and depression can affect gastrointestinal motility and sensation by affecting brain-gut axis,enteric nervous system,hormone neurotransmitters and intestinal flora,leading to functional constipation.The author reviewed the research on the comorbidity of functional constipation and anxiety and depression in the elderly at home and abroad,and discussed the application of psychosomatic integration model in clinical practice,in order to provide a reference for improving the clinical treatment practice of functional constipation in the elderly.

关 键 词：功能性便秘 焦虑 抑郁 老年人 心身障碍 综述 

分 类 号：R749[医药卫生—神经病学与精神病学]