精神心理因素与功能性食管病

Psychological Profile and Functional Esophageal Disorders

功能性食管病的发病机制是多方面的,近年精神心理因素与功能性食管病的关系越来越受到广泛关注。多项研究显示功能性食管病患者常合并精神心理异常。精神心理因素可通过脑-肠轴机制影响食管动力和感觉功能,在功能性食管病患者的症状发生机制中起重要作用;同时心理异常影响患者的就医行为和预后。因此,在功能性食管病患者的治疗中,针对精神心理异常进行心理干预治疗显得尤为重要。

The pathogenesis of functional esophageal disorders involves multiple factors, and recently more and more attention has been paid on the close relationship between psychological status and functional esophageal disorders. Many studies have shown that patients with functional esophageal disorders are accompanied by abnormal psychological status. Through brain-gut axis mechanism, the psychological factors alter the motor and sensory function of esophagus, and play important roles in the physiological mechanisms of symptoms of functional esophageal disorders. At the same time, the psychological status influences patients＇ health care seeking and prognosis. Therefore, in order to improve the psychological status in patients with functional esophageal disorders, the psychological/behavioral interventions are especially important.