胃食管反流病的心身因素及处置

Psychosomatic factors and treatment of gastroesophageal reflux disease

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。

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.