临床荟萃

• 专题 • 上一篇    下一篇

胃食管反流病的心身因素及处置

  

  1. 河北省人民医院 消化内一科,河北 石家庄  050051
  • 出版日期:2017-01-05 发布日期:2017-01-12
  • 通讯作者: 通信作者:苏少慧,Email: 13613116257@163.com
  • 作者简介:苏少慧,河北省人民医院消化科主任医师、教授、医学硕士、硕士生导师。西部精神学会消化学会常委,河北省消化学会委员,河北省心身学会常委,石家庄市心身学会常委。发表科研论文50余篇,主编专著5部,获科技进步奖4项。

Psychosomatic  factors and treatment of gastroesophageal reflux disease#br#

  1. Department of Gastroenterology,Hebei General Hospital, Shijiazhuang 050051,China
  • Online:2017-01-05 Published:2017-01-12
  • Contact: Corresponding author: Su Shaohui,Email: 13613116257@163.com

摘要: 胃食管反流病(gastroesophageal reflux disease,GERD) 是由多种因素导致的疾病。近年多项研究表明, GERD患者常合并精神心理异常,精神心理因素可能通过脑肠轴、自主神经系统影响食管的感觉和运动,在GERD的发病中起重要作用。因此,对GERD患者的处置既要治疗反流症状,同时更应关注患者的精神心理因素, 采取心身相结合的综合防治措施进行心理干预, 整体治疗。

关键词: 胃食管反流, 自主神经系统, 心身医学

Abstract: Gastroesophageal reflux disease (GERD) is caused by multiple factors disease. In recent years, many studies have shown that GERD patients are associated with mental disorders.The psychological factors play an important role in the physiological  mechanisms of symptoms of GERD which alter the motor and sensory function of esophagus by  braingut axis mechanism and autonomic nerve dysfunction.In addition to controlling the reflux symptoms, we should pay more attention to psychosomatic  factors in the treatment of  GERD patients.  The psychological/behavioral interventions are especially important.

Key words: gastroesophageal reflux, autonomic nervous system, psychosomatic medicine