Whorwell Peter J
University of Manchester, Manchester, United Kingdom.
J Psychosom Res. 2008 Jun;64(6):621-3. doi: 10.1016/j.jpsychores.2008.02.022. Epub 2008 Apr 28.
There is now good evidence that hypnotherapy benefits a substantial proportion of patients with irritable bowel syndrome and that improvement is maintained for many years. Most patients seen in secondary care with this condition also suffer from a wide range of noncolonic symptoms such as backache and lethargy, as well as a number of musculoskeletal, urological, and gynaecological problems. These features do not typically respond well to conventional medical treatment approaches, but fortunately, their intensity is often reduced by hypnosis. The mechanisms by which hypnosis mediates its benefit are not entirely clear, but there is evidence that, in addition to its psychological effects, it can modulate gastrointestinal physiology, alter the central processing of noxious stimuli, and even influence immune function.
现在有充分的证据表明，催眠疗法对相当一部分肠易激综合征患者有益，且改善效果能维持多年。在二级医疗保健机构中就诊的大多数患有这种疾病的患者还伴有多种非结肠症状，如背痛和无精打采，以及一些肌肉骨骼、泌尿和妇科问题。这些症状通常对传统医学治疗方法反应不佳，但幸运的是，催眠往往能减轻其严重程度。催眠产生益处的机制尚不完全清楚，但有证据表明，除了心理作用外，它还可以调节胃肠生理功能，改变对有害刺激的中枢处理，甚至影响免疫功能。
