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[内脏敏感性紊乱在功能性胃肠病发病机制中的作用]

[Visceral sensitivity disturbances in the pathogenesis of functional gastrointestinal disorders].

作者信息

Mazur Marcel, Furgała Agata, Thor Piotr J

机构信息

Katedra Patofizjologii, Collegium Medicum Uniwersytetu Jagiellońskiego.

出版信息

Folia Med Cracov. 2004;45(1-2):33-49.

Abstract

Functional gastrointestinal disorders are common pathology of the gut. The most frequent of them--functional dyspepsia and irritable bowel syndrome, formally regarded as different entities, in the view of new research and studies of the afferent nervous system seem to have common triggers and result from similar pathophysiological mechanisms. Disorders of regulation of the two-way communication between brain and gut (the brain-gut axis) modulated by different social and environmental factors are important in the pathogenesis of these diseases. Damage to brain processes like perception and affective responsiveness can be major contributors to the pathogenesis of functional gastrointestinal signs.

摘要

功能性胃肠疾病是常见的肠道病理状况。其中最常见的——功能性消化不良和肠易激综合征,虽然在传统观念中被视为不同的疾病实体,但从新的研究以及对传入神经系统的研究来看,似乎有着共同的触发因素,且由相似的病理生理机制导致。由不同社会和环境因素调节的脑肠之间双向沟通(脑肠轴)的调节紊乱在这些疾病的发病机制中起着重要作用。像感知和情感反应等脑功能的损害可能是功能性胃肠症状发病机制的主要促成因素。

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