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儿科功能性胃肠病的生物医学和心理社会治疗的整合。

Integration of Biomedical and Psychosocial Treatments in Pediatrics Functional Gastrointestinal Disorders.

机构信息

Department of Clinical Research, College of Pharmacy & Health Sciences, Campbell University, PO Box 1090, 180 Main Street, Buies Creek, NC 27506, USA; Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina, 130 Mason Farm road, Chapel Hill, NC 27599, USA; Behavioral Medicine Research Group, School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA 98105, USA.

Department of Clinical Research, College of Pharmacy & Health Sciences, Campbell University, PO Box 1090, 180 Main Street, Buies Creek, NC 27506, USA.

出版信息

Gastroenterol Clin North Am. 2018 Dec;47(4):863-875. doi: 10.1016/j.gtc.2018.07.010. Epub 2018 Sep 28.

Abstract

Pediatric functional gastrointestinal disorders (FGIDs) are disorders of the brain-gut axis. Pathophysiological factors include alterations in gut motility, microbiota, immune system, central nervous system, and psychosocial factors. Given the complex pathophysiology of FGIDs, many patients are in need of integrative treatment approaches that may include a combination of biomedical, nutritional, and psychological approaches. In this article, we examine goals of treatment; give a brief overview of biomedical, nutritional, and psychological approaches; and finally discuss the integrative management of pediatric FGIDs.

摘要

儿科功能性胃肠疾病(FGIDs)是脑-肠轴的疾病。病理生理因素包括肠道运动、微生物群、免疫系统、中枢神经系统和社会心理因素的改变。鉴于 FGIDs 的复杂病理生理学,许多患者需要综合治疗方法,可能包括生物医学、营养和心理方法的结合。在本文中,我们研究了治疗目标;简要概述了生物医学、营养和心理方法;最后讨论了儿科 FGIDs 的综合管理。

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