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本文引用的文献

1
Irritable bowel syndrome: what do the new Rome IV diagnostic guidelines mean for patient management?肠易激综合征：新的罗马IV诊断指南对患者管理意味着什么？
Expert Rev Gastroenterol Hepatol. 2017 Apr;11(4):281-283. doi: 10.1080/17474124.2017.1292130. Epub 2017 Feb 22.
2
Comparison of Symptoms, Healthcare Utilization, and Treatment in Diagnosed and Undiagnosed Individuals With Diarrhea-Predominant Irritable Bowel Syndrome.腹泻型肠易激综合征确诊与未确诊个体的症状、医疗服务利用及治疗情况比较
Am J Gastroenterol. 2017 Jun;112(6):892-899. doi: 10.1038/ajg.2016.574. Epub 2017 Jan 17.
3
Distinct Abnormalities of Small Bowel and Regional Colonic Volumes in Subtypes of Irritable Bowel Syndrome Revealed by MRI.MRI显示肠易激综合征各亚型中小肠和局部结肠容积的明显异常。
Am J Gastroenterol. 2017 Feb;112(2):346-355. doi: 10.1038/ajg.2016.538. Epub 2016 Dec 13.
4
Using best practice to create a pathway to improve management of irritable bowel syndrome: aiming for timely diagnosis, effective treatment and equitable care.运用最佳实践创建改善肠易激综合征管理的路径：目标是实现及时诊断、有效治疗和平等医疗服务。
Frontline Gastroenterol. 2016 Oct;7(4):323-330. doi: 10.1136/flgastro-2016-100727. Epub 2016 Aug 1.
5
World Gastroenterology Organisation Global Guidelines Irritable Bowel Syndrome: A Global Perspective Update September 2015.世界胃肠病学组织全球指南：肠易激综合征——全球视角更新（2015年9月）
J Clin Gastroenterol. 2016 Oct;50(9):704-13. doi: 10.1097/MCG.0000000000000653.
6
Pan-Colonic Pressurizations Associated With Relaxation of the Anal Sphincter in Health and Disease: A New Colonic Motor Pattern Identified Using High-Resolution Manometry.健康与疾病状态下与肛门括约肌松弛相关的全结肠压力变化：一种通过高分辨率测压法识别的新结肠运动模式
Am J Gastroenterol. 2017 Mar;112(3):479-489. doi: 10.1038/ajg.2016.341. Epub 2016 Sep 6.
7
Enhancing Diagnostic Performance of Symptom-Based Criteria for Irritable Bowel Syndrome by Additional History and Limited Diagnostic Evaluation.通过补充病史和有限的诊断评估提高肠易激综合征症状性标准的诊断性能。
Am J Gastroenterol. 2016 Oct;111(10):1446-1454. doi: 10.1038/ajg.2016.308. Epub 2016 Aug 2.
8
Bowel Disorders.肠道疾病
Gastroenterology. 2016 Feb 18. doi: 10.1053/j.gastro.2016.02.031.
9
Novel pharmacological therapies for irritable bowel syndrome.肠易激综合征的新型药物疗法。
Expert Rev Gastroenterol Hepatol. 2016 Jul;10(7):807-15. doi: 10.1586/17474124.2016.1158099. Epub 2016 Mar 18.
10
Calculating Total Health Service Utilisation and Costs from Routinely Collected Electronic Health Records Using the Example of Patients with Irritable Bowel Syndrome Before and After Their First Gastroenterology Appointment.以肠易激综合征患者首次胃肠病学就诊前后为例，从常规收集的电子健康记录中计算总医疗服务利用率和成本。
Pharmacoeconomics. 2016 Feb;34(2):181-94. doi: 10.1007/s40273-015-0339-y.

肠易激综合征的全球影响：是时候考虑针对肠易激综合征的照护模式了？

The global impact of IBS: time to think about IBS-specific models of care?

作者信息

Corsetti Maura, Whorwell Peter

机构信息

Nottingham Digestive Diseases Biomedical Research Centre, National Institute for Health Research, Nottingham University Hospitals NHS Trust, University of Nottingham, UK.

Centre for Gastrointestinal Sciences, University of Manchester, Manchester, UK.

出版信息

Therap Adv Gastroenterol. 2017 Sep;10(9):727-736. doi: 10.1177/1756283X17718677. Epub 2017 Jul 31.

DOI:10.1177/1756283X17718677
PMID:28932273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5598808/
Abstract

Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal (GI) disorder that can significantly erode the quality of life (QoL) of sufferers and places a major cost burden on healthcare services. This paper reviews the literature on the impact of IBS on healthcare services and society, including a recent report on the subject, in order to formulate a plan for the future. A completely different model of care for these patients is recommended based on this review and the experience of the two authors who have been treating patients with functional GI disorders for 20 and 35 years, respectively.

摘要

肠易激综合征（IBS）是一种常见的功能性胃肠疾病，会严重影响患者的生活质量（QoL），并给医疗服务带来巨大成本负担。本文回顾了关于IBS对医疗服务和社会影响的文献，包括近期一份关于该主题的报告，以便制定未来计划。基于此次回顾以及两位分别有20年和35年功能性胃肠疾病治疗经验的作者的经历，推荐了一种针对这些患者的截然不同的护理模式。