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对肠易激综合征(IBS)作精神治疗的理论是经多方面研究得出的。第一,许多学者认为精神因素是IBS的病因;第二,按研究标准约1/2的IBS门诊患者有精神疾患;第三,本病起病常伴有威胁生命之类的事件发生,促使患者抑郁;第四,有证据说明对标准药物治疗无效的一些症状,精神治疗可有帮助。本研究目的是评价对标准药物治疗无效的IBS,用精神治疗的可行性与功效。入选病例为:1.符合IBS的诊断标准:有腹痛、腹胀和大便习惯异常,而血象、血清生化、直肠活检及乙结镜和钡灌肠X线检查均正常者;2.症状超过一年,并经胃肠专科门诊应用消
The theory of psychiatric treatment of irritable bowel syndrome (IBS) is a multifaceted study. First, many scholars believe that mental factors are the cause of IBS; second, mental disorders are present in about 1 in 2 IBS outpatients based on research criteria; and third, the onset of this disease is often accompanied by life-threatening events that prompt Depression in patients; Fourth, there is evidence that psychiatric treatment may be helpful in treating some of the symptoms that are ineffective with standard medical therapy. The purpose of this study was to evaluate the feasibility and efficacy of psychiatric treatment of IBS that is ineffective with standard medical therapy. The selected cases are: 1. The diagnostic criteria in line with IBS: abdominal pain, abdominal distension and bowel habits, and blood, serum biochemistry, biopsy and endoscopy and barium enema X-ray examination were normal; 2. Symptoms more than a year, And by the gastrointestinal specialist out-patient applications eliminate