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[功能性疾病向器质性身心障碍的转变]

[A transition of a functional disease to an organic psychosomatic disorder].

作者信息

Marilov V V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2006;106(1):21-3.

PMID:16457129
Abstract

Twenty patients with ulcer (83 female and 117 male) have been studied. It was found out that many patients had functional disorders of the gastrointestinal tract in the form of gastralgia or neurogenic vomiting ("organic neurosis of stomach") long before the disease manifestation. At that time the patients underwent gastroscopy and X-ray examination of the stomach and the duodenum but no pathological organic changes were revealed. The study showed that 13% of men and 28% of women with "organic neurosis of the stomach" had signs of ulcer disease 12-13 years later. Therefore, a transition of functional to organic within unified psychosomatic process is in principle possible.

摘要

对20例溃疡患者(83例女性和117例男性)进行了研究。结果发现,许多患者早在疾病表现之前就有胃肠道功能紊乱,表现为胃痛或神经性呕吐(“胃的器质性神经症”)。当时,这些患者接受了胃镜检查以及胃和十二指肠的X线检查,但未发现病理性器质性改变。研究表明,患有“胃的器质性神经症”的男性中有13%、女性中有28%在12至13年后出现了溃疡病迹象。因此,在统一的心身过程中,功能向器质性的转变原则上是可能的。

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