Kolesnikov D B
Zh Nevrol Psikhiatr Im S S Korsakova. 2000;100(11):24-30.
140 patients with the irritable bowel syndrome were examined. According to the results of clinical analysis of the manifestations, symptomatology and structure of comorbidity, two syndrome types were identified. These included those: with the phenomena of autonomic or conversive neurosis (89.3 and 10.7% respectively). The syndrome with signs autonomic neurosis were characterized by: 1) spontaneous or somatogenic manifestation; 2) homomorphism and stability of both abdominalgias and defecation disorders; 3) limitation of functional disorders in gastrointestinal organs; 4) syndromal and temporary (parallelism of formation and dynamics) comorbidity with endogenous diseases (66%) (cyclothymia, slowly progressive schizophrenia), hypochondriac development (16%) and anxious-phobic disorders (18%); 5) correlation with subclinic somatic pathology of gastrointestinal tract. Syndrome with the phenomena of conversive neurosis was characterized by: 1) psychogenically induced manifestation; 2) polymorphism and instability of abdomnalgias and stool disorders; 3) polymorphism of functional disorders of different organ systems; 4) syndromic and temporary (parallelism of formation and dynamics) comorbidity with subsyndromic psychic disorders: transitent hysterohypochondriac phobias (cardiophobia, tanatophobia)--60%, transitent (less than 2-3 months) hysteroaffective reactions caused by situations--40%; 5) none or minimal concomitant subclinical gastrointestinal pathology.
对140例肠易激综合征患者进行了检查。根据临床表现、症状学及合并症结构的临床分析结果，确定了两种综合征类型。其中包括：伴有自主神经或转换性神经症现象的患者（分别为89.3%和10.7%）。伴有自主神经症体征的综合征的特点为：1）自发或躯体性表现；2）腹痛和排便障碍的同形性和稳定性；3）胃肠器官功能障碍的局限性；4）与内源性疾病（66%）（环性心境障碍、缓慢进行性精神分裂症）、疑病症发展（16%）和焦虑恐惧症（18%）存在综合征性和暂时性（形成与动态的平行性）合并症；5）与胃肠道亚临床躯体病理学相关。伴有转换性神经症现象的综合征的特点为：1）心理诱发表现；2）腹痛和大便障碍的多形性和不稳定性；3）不同器官系统功能障碍的多形性；4）与亚综合征性精神障碍存在综合征性和暂时性（形成与动态的平行性）合并症：短暂性癔症性疑病恐惧症（心脏恐惧症、死亡恐惧症）——60%，由情境引起的短暂性（少于2 - 3个月）癔症性情感反应——40%；5）无或极少伴有亚临床胃肠道病理学。
