功能性腹痛中西医诊疗进展与策略

Diagnosis and Treatment Progress of Chinese and Western Medicine in Functional Abdominal Pain Syndrome

功能性腹痛综合征是一种主要由中枢神经系统介导、与精神心理因素关系密切、在一定程度上影响日常活动能力的功能性胃肠病。临床诊断以罗马III为标准,西医治疗以构建良好的医患关系为核心、以中枢神经系统的神经调节为主要靶点,尚缺乏特异性的诊疗方案。目前强调在西医诊断明确的基础上,对该病进行多维度的临床资料剖析,结合中医辨证论治及外治疗法的特色与优势,同时重视患者的心理干预,对该病进行综合治疗,以期能有效改善患者症状、提升生活质量。

Functional abdominal pain syndrome（ FAPS） is a kind of functional gastrointestinal disease which is mainly mediated by the central nervous system,closely related to mental factors and to a certain extent,affecting the ability of the daily activities. On the basis of Rome III as the clinical diagnosis,treatments of FAPS focus on a good doctor- patient relationship as the core and the neural regulation of the central nervous system as the main targets. However,there is still lack of specificity of diagnosis and treatment plan. By far,on the basis of clear diagnosis and multi- dimensional clinical profile,combining the features and advantages of TCM syndrome differentiation and external therapy,the comprehensive treatment of the disease that attaches great importance to the patients＇ psychological intervention at the same time aims at improving symptoms and quality of life effectively.