College of Acupuncture and Massage, Anhui University of Chinese Medicine, Hefei, China.
College of Integrated Chinese and Western Medicine, Anhui University of Chinese Medicine, Hefei, China.
Gut Liver. 2024 May 15;18(3):391-403. doi: 10.5009/gnl220346. Epub 2023 Aug 8.
Irritable bowel syndrome (IBS) is considered a stress disorder characterized by psychological and gastrointestinal dysfunction. IBS patients not only suffer from intestinal symptoms such as abdominal pain, diarrhea, or constipation but also, experience dysthymic disorders such as anxiety and depression. Studies have found that corticotropin-releasing hormone plays a key role in IBS with comorbid dysthymic disorders. Next, we will summarize the effects of corticotropin-releasing hormone from the central nervous system and periphery on IBS with comorbid dysthymic disorders and relevant treatments based on published literatures in recent years.
肠易激综合征(IBS)被认为是一种应激障碍,其特征为心理和胃肠道功能障碍。IBS 患者不仅有腹痛、腹泻或便秘等肠道症状,还伴有心境恶劣障碍,如焦虑和抑郁。研究发现,促肾上腺皮质激素释放激素在伴有心境恶劣障碍的 IBS 中起关键作用。接下来,我们将根据近年来发表的文献,从中枢神经系统和外周两个方面总结促肾上腺皮质激素释放激素对伴有心境恶劣障碍的 IBS 的影响及其相关治疗。