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[肠易激综合征中的体液因素(β-内啡肽和促肾上腺皮质激素)及其与心理障碍和大肠动力障碍特征的关系]

[Humoral factors (beta-endorphin and adrenocorticotropin) in irritable bowel syndrome and their relations with psychological disorders and characteristics of disorders in the large intestine motility].

作者信息

Zhukov N A, Sorokina E A, Kazakova A V, Akhmedov V A, Tuleeva N K, Tret'iakova T V, Sen'ko M V

机构信息

Omsk Medical Academy.

出版信息

Eksp Klin Gastroenterol. 2003(6):46-51, 154.

Abstract

The object of this study was to discover mental functions, humoral regulation and large intestinal motor dysfunction in patients with the irritable bowels syndrome (IBS) in order to develop principles of their differential correction. A group of 106 patients (26 men and 80 women) with the irritable bowels syndrome was examined. The IBS diagnosis was made in accordance with the Rome criteria (1999). The control group included 21 somatically healthy volunteers (16 women and 5 men). Patients from both of the groups underwent clinical and psychological as well as plasma beta-endorphin concentration studies; colonic motor activity was also studied in patients with the IBS by the method of electric colonoscopy. Mental changes and certain particular features of the large intestine humoral regulation and motor activity determining the differential treatment for this category of patients were discovered.

摘要

本研究的目的是发现肠易激综合征(IBS)患者的心理功能、体液调节及大肠运动功能障碍,以便制定其差异矫正原则。对一组106例肠易激综合征患者(26例男性和80例女性)进行了检查。IBS诊断依据罗马标准(1999年)。对照组包括21名躯体健康的志愿者(16名女性和5名男性)。两组患者均接受了临床、心理以及血浆β-内啡肽浓度研究;对IBS患者还通过电子结肠镜检查法研究了结肠运动活性。发现了心理变化以及大肠体液调节和运动活性的某些特定特征,这些特征决定了此类患者的差异治疗。

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