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基于病理生理机制的中医综合治疗肠易激综合征的探讨

Exploration of TCM Comprehensive Treatment of Irritable Bowel Syndrome Based on Pathophysiological Mechanism.

作者信息

Xu Xiaonan, Huang Yan, Ma Zhuolin, Liu Zhaoxia

机构信息

First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang Province, People's Republic of China.

Eye Hospital of Heilongjiang Province, Harbin, Heilongjiang Province, People's Republic of China.

出版信息

Int J Gen Med. 2025 Jun 12;18:3075-3091. doi: 10.2147/IJGM.S513906. eCollection 2025.

Abstract

Irritable bowel syndrome (IBS) is a gastrointestinal disorder that is characterized by abdominal pain and altered bowel habits. The clinical manifestations of IBS include abdominal discomfort; irregular bowel movements; potential bleeding; and various symptoms associated with somatic, visceral, and psychiatric conditions. Presently, the diagnosis of IBS relies on symptomatology and the exclusion of other organic disorders, while treatment modalities include pharmacological interventions targeting primary symptoms, dietary modifications, and psychotherapy. Although the underlying mechanisms contributing to morbidity in IBS remain inadequately understood, potential etiological factors include increased epithelial cell permeability, biological irregularities, inflammation, visceral hypersensitivity, genetic and epigenetic influences, and altered brain-gut interactions. IBS significantly diminishes the quality of life and imposes substantial burdens on patients, healthcare providers, and healthcare systems. Recent academic research has indicated that traditional Chinese medicine plays an increasingly significant role in IBS management. This study aimed to investigate the efficacy and safety of Traditional Chinese Medicine (TCM) in treating IBS, focusing on the pathophysiological mechanisms underlying the disorder, to provide insights into a promising complementary approach for managing IBS, with potential applications in clinical practice to improve symptom management and patient quality of life. Further research into the specific mechanisms of TCM in IBS treatment could pave the way for the development of targeted therapeutic strategies.

摘要

肠易激综合征(IBS)是一种胃肠道疾病,其特征为腹痛和排便习惯改变。IBS的临床表现包括腹部不适、排便不规律、潜在出血以及与躯体、内脏和精神状况相关的各种症状。目前,IBS的诊断依赖于症状学以及排除其他器质性疾病,而治疗方式包括针对主要症状的药物干预、饮食调整和心理治疗。尽管导致IBS发病的潜在机制仍未得到充分理解,但潜在的病因包括上皮细胞通透性增加、生物学异常、炎症、内脏超敏反应、遗传和表观遗传影响以及脑-肠相互作用改变。IBS显著降低生活质量,并给患者、医疗服务提供者和医疗系统带来沉重负担。最近的学术研究表明,中医在IBS管理中发挥着越来越重要的作用。本研究旨在探讨中医治疗IBS的疗效和安全性,重点关注该疾病的病理生理机制,为管理IBS提供一种有前景的补充方法,并在临床实践中潜在应用以改善症状管理和患者生活质量。对中医治疗IBS具体机制的进一步研究可为靶向治疗策略的开发铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3867/12170834/6905cf431cec/IJGM-18-3075-g0001.jpg

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