Li B U K
Pediatr Ann. 2009 May;38(5):241-2.
From the array of articles, one can readily see the clinical and scientific progress made in symptom-based diagnosis and management of functional abdominal pain disorders over the past 5 years. We have provided a series of useful tools to approach these patients. We have provided the symptom-based diagnostic criteria plus the red flags to help you avoid missing an organic diagnosis. We have placed these disorders squarely within the complex biopsychosocial framework by identifying early life stress and many environmental factors that are key factors in the development of pain. We have identified the role of psychological comorbidities of anxiety and depression and the need to address them directly in order to rehabilitate a disabled child. Finally, pharmacologic, psychological, dietary, and complementary approaches are reviewed and recommended as empiric therapy in functional abdominal pain, functional dyspepsia, and irritable bowel syndrome. Use these new tools well.
从一系列文章中，人们可以很容易地看到在过去5年里，基于症状的功能性腹痛疾病诊断和管理方面所取得的临床和科学进展。我们提供了一系列有用的工具来诊治这些患者。我们提供了基于症状的诊断标准以及警示信号，以帮助您避免漏诊器质性疾病。通过识别早期生活压力和许多环境因素（这些是疼痛发生的关键因素），我们将这些疾病明确置于复杂的生物心理社会框架内。我们已经确定了焦虑和抑郁等心理共病的作用，以及直接解决这些问题以帮助残疾儿童康复的必要性。最后，对药物、心理、饮食和辅助治疗方法进行了综述，并推荐将其作为功能性腹痛、功能性消化不良和肠易激综合征的经验性治疗方法。好好利用这些新工具。
