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[肠易激综合征患者大肠黏膜的内脏高敏感性——疼痛综合征中非炎症性改变的原因]

[Visceral hypersensitivity of the large intestine mucosa in patients with irritable bowel syndrome--cause of the non-inflammatory changes in the pain syndrome].

作者信息

Zhukov N A, Sorokina E A, Akhmedov V A, Kopeĭkin S A, Pavlov A V, Tuleeva N K, Lazeeva T L, Ereshchenko K Iu

机构信息

Omsk State Medical Academy.

出版信息

Eksp Klin Gastroenterol. 2003(5):75-8, 195.

Abstract

The purpose of our research was to reveal the existence of an association between clinical expressions of visceral hypersensitivity--the intensity of abdominal pain and nature of endoscopic changes in the large intestine in patients with the irritable bowel syndrome (IBS). It was established that there was a direct association between the intensity of the pain syndrome and existence of endoscopic changes in the large intestine mucous coat. The macroscopic picture regarded as an inflammation of the mucous coat in patients with the IBS is not confirmed with the data of morphological research. The presence of endoscopic features of inflammation is not favorable from the prognostic point of view for deletion of abdominal pain in patients who undergo therapy with selective antagonists of calcium.

摘要

我们研究的目的是揭示肠易激综合征(IBS)患者内脏高敏感性的临床症状——腹痛强度与大肠内镜改变性质之间的关联。已确定疼痛综合征的强度与大肠黏膜层内镜改变的存在之间存在直接关联。IBS患者中被视为黏膜层炎症的宏观表现未得到形态学研究数据的证实。从预后角度来看,存在炎症的内镜特征不利于接受钙选择性拮抗剂治疗的患者消除腹痛。

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