肠易激综合征疼痛或不适的意义

作     者：Handa M. Nukina H. Ando K. Kubo C. 陈云茹 

作者机构：Department of Psychosomatic Medicine Faculty of MedicineKyushu University 3-1-1 Maidashi Higashi-ku Fukuoka 812-8582 Japan 

出 版 物：《世界核心医学期刊文摘（胃肠病学分册）》 (Core Journals in Gastroenterology)

年 卷 期：2005年第1卷第1期

页      面：6-6页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：肠易激综合征 肠紊乱 焦虑障碍 

摘      要：Despite many studies on pain of functional gastrointestinal disorders (FGID), the pain mechanism of FGID is not well understood, and pain treatment of FGID is not *** our former functional dyspepsia (FD) study, we proposed two subgroups of patients with irritable bowel syndrome(IBS), pain and discomfort (not pain). The duration of disease of discomfort IBS patients was longer than that of pain IBS patients (P 0.05).The rate of anxiety disorder of pain IBS patients tended to be higher than that of discomfort IBS patients(P = 0.07172). Fifteen (15.2% ) of 99 pain IBS patients and 1 (3.4% ) of 29 discomfort IBS patients overlapped FD(P 0.1). We expected that a common psychosocial mechanism would influence both pain dyspepsia patients and pain IBS patients, however, there were some differences between these FGID patients with pain. Anxiety in IBS patients with lower gastrointestinal pain seems to be important in their treatment.