腹泻型肠易激综合征(Irritable bowel syndrome with diarrhea, IBS-D)是一组以腹泻为主要症状的临床综合征,为消化系统常见病,本病病程长,临床症状严重、病情易反复,严重影响患者生活质量,并加重了国家的经济负担。目前IBS-D发病机制不...腹泻型肠易激综合征(Irritable bowel syndrome with diarrhea, IBS-D)是一组以腹泻为主要症状的临床综合征,为消化系统常见病,本病病程长,临床症状严重、病情易反复,严重影响患者生活质量,并加重了国家的经济负担。目前IBS-D发病机制不明,现代医学对其治疗以药物内服为主,存在疗效欠佳、不良反应较多等缺陷。而中医药注重整体调节且不良反应少,一定程度上能弥补西医学治疗的不足。冯培民教授根据其多年临床经验,指出IBS-D发病之源是脾胃虚损,水湿不运贯穿其中,土虚木乘为重要环节。故在治疗中,以分消水湿为基本法则,配以抑木扶土之法,往往收效甚佳。Irritable bowel syndrome with diarrhea is a group of clinical syndromes with diarrhea as the main symptom, which is a common disease of the digestive system, with a long course of disease, severe clinical symptoms, and easy recurrence, which seriously affects the quality of life of patients and increases the economic burden of the country. At present, the pathogenesis of IBS-D is unknown, and modern medicine mainly treats it with internal medication, which has defects such as poor efficacy and many adverse reactions. Traditional Chinese medicine focuses on overall regulation and has few adverse reactions, which can make up for the shortcomings of Western medicine treatment to a certain extent. Based on his years of clinical experience, Professor Feng Peimin pointed out that the source of the pathogenesis of IBS-D is spleen and stomach deficiency, which runs through water and dampness, and soil deficiency and wood multiplication are important links. Therefore, in the treatment, the basic law of dividing water and eliminating dampness, combined with the method of inhibiting wood and supporting soil, often has good results.展开更多
胃食管反流病致病因素繁多,发病机制复杂,烧心和反流为最常见典型症状;PPI试验简单、有效、敏感度较高,可作为GERD初步诊断方法,但特异度不高;具有反流症状的初诊患者建议内镜检查;食管钡餐造影、食管测压等亦可协助诊疗。西医治疗以缓...胃食管反流病致病因素繁多,发病机制复杂,烧心和反流为最常见典型症状;PPI试验简单、有效、敏感度较高,可作为GERD初步诊断方法,但特异度不高;具有反流症状的初诊患者建议内镜检查;食管钡餐造影、食管测压等亦可协助诊疗。西医治疗以缓解症状(抑制胃酸分泌、质子泵抑制剂(PPI)是首选药物,PPI治疗效果不佳时,可联合促动力药物),提高生活质量,预防并发症为主。LES注射、电刺激、呼吸肌训练法及膈肌生物反馈训练(diaphragm biofeedback training DBT)等新型治疗方法随着科技进步而兴起。中医药以辨证为基础,针灸、电针、耳针、穴位按摩、穴位注射等,操作简便,疗效好;联合西医治疗,疗效显著。随着科学的进步,分子生物学,精神心理学,遗传学等多学科的介入,新型诊疗技术的层出不穷,对于胃食管反流病的诊疗正逐得到完善。展开更多
文摘腹泻型肠易激综合征(Irritable bowel syndrome with diarrhea, IBS-D)是一组以腹泻为主要症状的临床综合征,为消化系统常见病,本病病程长,临床症状严重、病情易反复,严重影响患者生活质量,并加重了国家的经济负担。目前IBS-D发病机制不明,现代医学对其治疗以药物内服为主,存在疗效欠佳、不良反应较多等缺陷。而中医药注重整体调节且不良反应少,一定程度上能弥补西医学治疗的不足。冯培民教授根据其多年临床经验,指出IBS-D发病之源是脾胃虚损,水湿不运贯穿其中,土虚木乘为重要环节。故在治疗中,以分消水湿为基本法则,配以抑木扶土之法,往往收效甚佳。Irritable bowel syndrome with diarrhea is a group of clinical syndromes with diarrhea as the main symptom, which is a common disease of the digestive system, with a long course of disease, severe clinical symptoms, and easy recurrence, which seriously affects the quality of life of patients and increases the economic burden of the country. At present, the pathogenesis of IBS-D is unknown, and modern medicine mainly treats it with internal medication, which has defects such as poor efficacy and many adverse reactions. Traditional Chinese medicine focuses on overall regulation and has few adverse reactions, which can make up for the shortcomings of Western medicine treatment to a certain extent. Based on his years of clinical experience, Professor Feng Peimin pointed out that the source of the pathogenesis of IBS-D is spleen and stomach deficiency, which runs through water and dampness, and soil deficiency and wood multiplication are important links. Therefore, in the treatment, the basic law of dividing water and eliminating dampness, combined with the method of inhibiting wood and supporting soil, often has good results.
文摘胃食管反流病致病因素繁多,发病机制复杂,烧心和反流为最常见典型症状;PPI试验简单、有效、敏感度较高,可作为GERD初步诊断方法,但特异度不高;具有反流症状的初诊患者建议内镜检查;食管钡餐造影、食管测压等亦可协助诊疗。西医治疗以缓解症状(抑制胃酸分泌、质子泵抑制剂(PPI)是首选药物,PPI治疗效果不佳时,可联合促动力药物),提高生活质量,预防并发症为主。LES注射、电刺激、呼吸肌训练法及膈肌生物反馈训练(diaphragm biofeedback training DBT)等新型治疗方法随着科技进步而兴起。中医药以辨证为基础,针灸、电针、耳针、穴位按摩、穴位注射等,操作简便,疗效好;联合西医治疗,疗效显著。随着科学的进步,分子生物学,精神心理学,遗传学等多学科的介入,新型诊疗技术的层出不穷,对于胃食管反流病的诊疗正逐得到完善。
