Faculty of Medicine and Pharmacy, Medicine Department, University of Oradea, 410068 Oradea, Romania.
Faculty of Medicine and Pharmacy, Doctoral School, University of Oradea, 1 December Square, 410068 Oradea, Romania.
Medicina (Kaunas). 2022 Jun 5;58(6):763. doi: 10.3390/medicina58060763.
Background and objectives: Irritable bowel syndrome (IBS) does not only have a complex pathophysiological evolution with central and peripheral mechanisms. This study aimed to monitor the neuropsychiatric part of IBS and its management, following the quality of life of patients with IBS. Materials and Methods: Participants numbering 145 were investigated in this study for 6 months and were divided into four groups, namely the control group with a symptomatic period of less than 6 months (n = 34), the group with irritable bowel syndrome (IBS; n = 58), IBS and neuropsychiatric treatment (n = 32), and IBS with probiotic treatment (n = 22). Clinical and paraclinical analyses as well as quality of life were monitored by domestic and international psychological questionnaires. Results: It was observed that, in patients with pro-longed symptoms, neuropsychiatric impairment occurred more frequently, and both clinical and paraclinical analyses improved significantly (p < 0.05) more so in those with complex allopathic treatment and in those with probiotic treatment. There were no significant differences between the two research groups. Conclusions: It has been shown that the neuropsychological component of IBS plays an important role in its treatment, and modern probation therapy can achieve similar results to those of neuropsychiatry. This also requires further studies to ensure the best combination in the approach to IBS.
肠易激综合征(IBS)不仅具有复杂的生理病理演变,还有中枢和外周机制。本研究旨在监测 IBS 的神经精神部分及其管理,并跟踪 IBS 患者的生活质量。
本研究共调查了 145 名参与者,随访 6 个月,并分为四组,即症状持续时间少于 6 个月的对照组(n=34)、肠易激综合征组(IBS;n=58)、IBS 伴神经精神治疗组(n=32)和 IBS 伴益生菌治疗组(n=22)。通过国内外心理问卷监测临床和临床前分析以及生活质量。
观察到,在症状持续时间较长的患者中,神经精神损害更为常见,且临床和临床前分析均显著改善(p<0.05),复合对症治疗和益生菌治疗的患者改善更为明显。两个研究组之间无显著差异。
研究表明,IBS 的神经心理学成分在其治疗中起着重要作用,现代康复治疗可以取得与神经精神病学相似的效果。这还需要进一步的研究,以确保在治疗 IBS 时采用最佳的综合方法。