Jedel Sharon, Hood Megan M, Keshavarzian Ali
Division of Digestion Diseases, Rush University Medical Center, Chicago, Illinois.
Inflamm Bowel Dis. 2015 Apr;21(4):923-38. doi: 10.1097/MIB.0000000000000257.
Inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis, is a chronic relapsing disorder associated with distressing physical and psychological symptoms. Many patients with IBD have impaired quality of life. Sexual functioning and body image are rated high among concerns of patients with IBD and may impact quality of life. A better understanding of the roles of sexual functioning and body image in quality of life for patients with IBD is needed because improvement in quality of life is a primary therapeutic goal. The aim of this review was to summarize the current literature on sexual functioning and body image in patients with IBD, emphasizing their impact on quality of life.
An electronic search of the literature was conducted using the PubMed, PsycINFO, and Cochrane databases. Key phrases included: "Ulcerative Colitis/Crohn's disease/Inflammatory Bowel Disease and sexual function," and "Ulcerative Colitis/Crohn's disease/Inflammatory Bowel Disease and body image." The search produced 1284 citations. We identified 56 studies, which were conducted from 1990 through April 2014, written in English, and included at least 10 adults with IBD.
Few studies have tested directly the association between quality of life and sexual functioning and body image among patients with IBD. Results preliminarily suggest a positive relationship between quality of life and sexual functioning and body image postoperatively among patients with IBD. Future studies comprised of patients who have not had surgery are necessary to better understand the relationship between sexual functioning, body image, and quality of life in patients with active and inactive IBD.
炎症性肠病（IBD）包括克罗恩病和溃疡性结肠炎，是一种慢性复发性疾病，伴有令人痛苦的身体和心理症状。许多IBD患者的生活质量受损。性功能和身体形象在IBD患者所关注的问题中排名靠前，可能会影响生活质量。由于改善生活质量是主要的治疗目标，因此需要更好地了解性功能和身体形象在IBD患者生活质量中的作用。本综述的目的是总结目前关于IBD患者性功能和身体形象的文献，强调它们对生活质量的影响。
使用PubMed、PsycINFO和Cochrane数据库对文献进行电子检索。关键词包括：“溃疡性结肠炎/克罗恩病/炎症性肠病与性功能”以及“溃疡性结肠炎/克罗恩病/炎症性肠病与身体形象”。检索共产生1284条引用。我们确定了56项研究，这些研究于199年至2014年4月进行，用英文撰写，且纳入了至少10名成年IBD患者。
很少有研究直接测试IBD患者生活质量与性功能和身体形象之间的关联。结果初步表明，IBD患者术后生活质量与性功能和身体形象之间存在正相关关系。未来有必要对未接受手术的患者进行研究，以更好地了解活动期和非活动期IBD患者性功能、身体形象和生活质量之间的关系。
