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精神心理因素与炎症性肠病关系的研究现状

Relationship between Psychological Factors and Inflammatory Bowel Disease

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【作者】 胡义亭张建贾桂丛侯洪涛苏少慧白云王玉珍

【Author】 HU Yiting;ZHANG Jian;JIA Guicong;HOU Hongtao;SU Shaohui;BAI Yun;WANG Yuzhen;Department One of Gastroenterology,Hebei People’ s Hospital;

【机构】 河北省人民医院消化一科

【摘要】 炎症性肠病(IBD)具有病情反复、病程冗长的特点,对患者的生理、情感、社会功能等有严重影响。目前IBD的发病机制尚未完全明确,可能与免疫、感染、遗传、精神因素有关。精神心理因素与IBD的发生发展关系密切,精神心理因素通过改变下丘脑-垂体-肾上腺轴、细菌黏膜间的相互作用等途径导致IBD的发生或复发,常规药物治疗的同时辅以心理干预治疗如松弛疗法、催眠疗法、认知行为疗法等,必要时予以抗抑郁药物治疗有利于IBD患者的康复。

【Abstract】 Inflammatory bowel disease( IBD) is characterized by pathogenic condition repetitions and long duration which seriously impact on the patient’s physiological,emotion,social function and so on. At present,the pathogenesis of IBD is not yet clear,which may be related to immunity,infection,heredity and mental factors. Psychiatric and psychological factors are closely related to the development of IBD,which effect on the IBD occurrence or recurrence through changing the interaction of hypothalamic-pituitary-adrenal axis and bacterial mucosa. General pharmacotherapy combining with psychological treatment,such as relaxation therapy,hypnotherapy,cognitive behavior therapy,and antidepressant medication if necessary is beneficial to the recovery of IBD patients.

  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2017年24期
  • 【分类号】R574
  • 【被引频次】8
  • 【下载频次】355
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