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目的提高对肠易激综合症(IBS)临床特点的认识,探讨发病机制及相应治疗意义。方法对40例患者临床资料进行回顾性分析,分析其临床表现、诊断、治疗及预后。结果40例患者存在精神诱发因素、内脏感知异常及胃肠动力学改变,给与精神心理治疗及改善胃肠道功能、内环境稳定,患者症状均明显缓解。结论肠易激综合症患者精神心理应激为主要诱发因素继而影响胃肠动力及内脏感觉异常,给与精神心理治疗改善胃肠道功能、内环境稳定,缓解症状有明显作用。长期针对性治疗对改善病情减少发作次数有意义。
Objective To improve the understanding of the clinical features of irritable bowel syndrome (IBS) and to explore the pathogenesis and the corresponding therapeutic implications. Methods The clinical data of 40 patients were retrospectively analyzed, and their clinical manifestations, diagnosis, treatment and prognosis were analyzed. Results 40 cases of patients with psychotic factors, visceral anomalies and gastrointestinal motility changes, to provide psychotherapy and improve gastrointestinal function, the internal environment is stable, the symptoms were significantly alleviated. Conclusions Psychosomatic stress in patients with irritable bowel syndrome is the main predisposing factor, which in turn affects gastrointestinal motility and visceral abnormalities. Psychiatric therapy is also given to improve gastrointestinal function, maintain stable internal environment and relieve symptoms. Long-term targeted treatment to improve the condition to reduce the number of attacks meaningful.