中国神经性贪食诊疗专家共识

Chinese Expert Consensus on the Diagnosis and Treatment of Bulimia Nervosa

神经性贪食是以反复发作的暴食和防止体质量增加的补偿行为,以及对体形和体质量过度关注为特征的一类进食障碍。神经性贪食患者存在紊乱的进食行为,导致电解质异常,出现胃肠道疾病、代谢和内分泌紊乱等躯体问题;其次常共病双相情感障碍、抑郁症、物质使用障碍等多种精神障碍,需引起重视。然而,目前在中国对于神经性贪食,乃至进食障碍不能早期识别和诊治,导致病程迁延。因此,在中华医学会心身医学分会进食障碍协作学组的组织下,联合中华医学会精神医学分会进食障碍研究协作组,由12名专家包括精神科医师和循证医学专家,组成专家组,基于循证医学证据、国内外指南与专家共识、专家经验等制订本专家共识,以期提高国内精神科专业人员和全科医师对神经性贪食的识别和诊治水平。

Bulimia nervosa is a type of eating disorders characterized by recurrent binge eating and compensatory behaviors to prevent weight gain,as well as excessive concern about body shape and mass.The patients with bulimia nervosa present with disturbed eating behavior,resulting in electrolyte abnormalities,gastrointestinal disorders,metabolic and endocrine disorders and other physical problems;secondly,the bulimia nervosa patients are often co-morbid with a variety of mental disorders such as bipolar disorder,depression,substance use disorders,which need to be taken seriously.However,bulimia nervosa and even eating disorders cannot be recognized and diagnosed at an early stage in China,which leads to a prolonged course of the disease.Therefore,under the organization of the Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association,in conjunction with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association,this expert consensus was formulated by 12 experts in the field of psychiatry and evidence-based medicine based on evidence-based medicine,domestic and foreign guidelines and expert consensus and expert experience,in order to improve the recognition,diagnosis and treatment of bulimia nervosa by psychiatric professionals and general practitioners in China.