摘要
肠易激综合征(IBS)作为常见的功能性肠病之一,以腹痛伴有大便性状和排便习惯改变为主要特点。IBS发病机制复杂,目前认为是多因素作用的结果。随着IBS诊断和分型标准的改变,IBS流行病学、临床特征、重叠特点、亚型分类也随之发生变化。目前罗马Ⅲ标准被广泛应用,研究发现,罗马Ⅲ标准对IBS症状和分型方法的表述欠清晰,临床实践中易形成不同的理解,影响IBS诊断和分型的准确性。罗马Ⅳ诊断标准的问世是功能性胃肠病领域的一个新进展。
Irritable bowel syndrome(IBS)is one of the common functional bowel diseases,characterized by abdominal pain accompanied by stool characteristics and defecation habits.The pathogenesis of IBS is complex,and it is believed to be the result of multiple factors.With the change of IBS diagnosis and classification standards,the epidemiology,clinical features,overlapping characteristics and subtypes of IBS are also changed.At present,the RomeⅢstandard is widely used,afte r continuous research and exploration,it is found that the expression of IBS symptoms and typing methods are not clear in RomeⅢstandard,which may easily cause different understandings in clinical practice,affecting the accuracy of IBS diagnosis and typing.The advent of the RomeⅣdiagnostic standard is a new progress in the field of functional gastrointes-tinal diseases.
作者
王倩
姚欣
WANG Qia;YAO Xin(Chengde Medical College,Chengde 067000,China;Department of Gastroenterology,Beijing Friendship Hospital Xinhua Hospital,Capital Medical University,Beijing 101100,China)
出处
《医学综述》
2018年第8期1596-1599,1605,共5页
Medical Recapitulate
基金
河北省科技计划项目(17277767D)
关键词
肠易激综合征
诊断
发病机制
重叠症
Irritable bowel syndrome
Diagnosis
Pathogenesis
Overlap
