Neurogastroenterology Unit, Gastroenterology, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Division of Diabetes, Endocrinology & Gastroenterology, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Neurogastroenterol Motil. 2019 Aug;31(8):e13573. doi: 10.1111/nmo.13573. Epub 2019 Feb 27.
Despite their high prevalence and advances in the field of neurogastroenterology, there remain few effective treatment options for functional gastrointestinal disorders (FGIDs). It is recognized that approximately 25% of sufferers will have symptoms refractory to existing therapies, causing significant adverse effects on quality of life and increased healthcare utilization and morbidity. Gut-focused hypnotherapy, when delivered by trained therapists, has been shown to be highly effective in severe refractory FGIDs. However, hypnotherapy continues to be surrounded by much misunderstanding and skepticism.
The purpose of this review is to provide a contemporary overview of the principles of gut-focused hypnotherapy, its effects on gut-brain interactions, and the evidence-base for its efficacy in severe FGIDs. As supplementary material, we have included a hypnotherapy protocol, providing the reader with an insight into the practical aspects of delivery, and as a guide, an example of a script of a gut-focused hypnotherapy session.
尽管神经胃肠病学领域取得了进展，但功能性胃肠疾病（FGIDs）的有效治疗选择仍然很少。据认识，约 25%的患者的症状对现有治疗方法无反应，这对生活质量造成了重大负面影响，并增加了医疗保健的利用和发病率。经过培训的治疗师提供的以肠道为中心的催眠疗法已被证明对严重难治性 FGIDs 非常有效。然而，催眠疗法仍然存在很多误解和怀疑。
本综述的目的是提供以肠道为中心的催眠疗法的现代概述，包括其对肠道-大脑相互作用的影响，以及其在严重 FGIDs 中的疗效证据。作为补充材料，我们还包括了一个催眠治疗方案，让读者深入了解其实施的实际方面，并提供了一个以肠道为中心的催眠治疗课程的示例脚本作为指导。
