What does pain or discomfort in irritable bowel syndrome mean?

被引:6
|
作者
Handa, M [1 ]
Nukina, H [1 ]
Ando, K [1 ]
Kubo, C [1 ]
机构
[1] Kyushu Univ, Fac Med, Dept Psychosomat Med, Higashi Ku, Fukuoka 8128582, Japan
关键词
irritable bowel syndrome; functional gastrointestinal disorders; pain; depression; anxiety;
D O I
10.1023/B:DDAS.0000026301.47638.92
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Despite many studies on pain of functional gastrointestinal disorders (FGID), the pain mechanism of FGID is not well understood, and pain treatment of FGID is not established. Following our former functional dyspepsia (FD) study, we proposed two subgroups of patients with irritable bowel syndrome (IBS), pain and discomfort (not pain). The duration of disease of discomfort IBS patients was longer than that of pain IBS patients (P < 0.05) The rate of anxiety disorder of pain IBS patients tended to be higher than that of discomfort IBS patients (P = 0.07172). Fifteen (15.2%) of 99 pain IBS patients and 1 (3.4%) of 29 discomfort IBS patients overlapped FD ( P < 0.1). We expected that a common psychosocial mechanism would influence both pain dyspepsia patients and pain IBS patients, however, there were some differences between these FGID patients with pain. Anxiety in IBS patients with lower gastrointestinal pain seems to be important in their treatment.
引用
收藏
页码:575 / 578
页数:4
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