炎症性肠病的脑肠互动研究进展

被引:16
作者
吴强强
钟捷
顾于蓓
机构
[1] 上海交通大学医学院附属瑞金医院消化科
关键词
炎症性肠病; 脑-肠轴; 心理健康; 治疗策略;
D O I
暂无
中图分类号
R574 [肠疾病];
学科分类号
100201 [内科学];
摘要
随着各类生物制剂和新型小分子药物的研发,炎症性肠病(IBD)的治疗目标不断提高,不仅追求症状缓解,更致力于肠黏膜愈合、减少并发症发生以及维持患者长期良好的肠道和社会功能。在上述治疗理念的革新中,IBD患者的心理健康日益受到关注,临床医师逐渐认识到心理因素与肠道炎性反应之间存在双向关系。该文就心理因素对IBD发病的影响、以脑-肠轴(GBA)为介导的脑肠之间的交互机制和以GBA为靶点的IBD治疗策略作一综述。
引用
收藏
页码:243 / 246
页数:4
相关论文
共 12 条
[1]
Gut-brain Axis: Role of Lipids in the Regulation of Inflammation, Pain and CNS Diseases [J].
Russo, Roberto ;
Cristiano, Claudia ;
Avagliano, Carmen ;
De Caro, Carmen ;
La Rana, Giovanna ;
Raso, Giuseppina Mattace ;
Canani, Roberto Berni ;
Meli, Rosaria ;
Calignano, Antonio .
CURRENT MEDICINAL CHEMISTRY, 2018, 25 (32) :3930-3952
[2]
Systematic review with meta-analysis: online psychological interventions for mental and physical health outcomes in gastrointestinal disorders including irritable bowel syndrome and inflammatory bowel disease [J].
Hanlon, I. ;
Hewitt, C. ;
Bell, K. ;
Phillips, A. ;
Mikocka-Walus, A. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2018, 48 (03) :244-259
[3]
Bi-directionality of Brain–Gut Interactions in Patients With Inflammatory Bowel Disease.[J].David J. Gracie;Elspeth A. Guthrie;P. John Hamlin;Alexander C. Ford.Gastroenterology.2018, 6
[4]
The Role of Stress in Inflammatory Bowel Diseases [J].
Sgambato, Dolores ;
Miranda, Agnese ;
Ranaldo, Rocco ;
Federico, Alessandro ;
Romano, Marco .
CURRENT PHARMACEUTICAL DESIGN, 2017, 23 (27) :3997-4002
[6]
Brain-Gut Interactions in Inflammatory Bowel Disease [J].
Bonaz, Bruno L. ;
Bernstein, Charles N. .
GASTROENTEROLOGY, 2013, 144 (01) :36-49
[7]
Increasing Incidence and Prevalence of the Inflammatory Bowel Diseases With Time, Based on Systematic Review [J].
Molodecky, Natalie A. ;
Soon, Ing Shian ;
Rabi, Doreen M. ;
Ghali, William A. ;
Ferris, Mollie ;
Chernoff, Greg ;
Benchimol, Eric I. ;
Panaccione, Remo ;
Ghosh, Subrata ;
Barkema, Herman W. ;
Kaplan, Gilaad G. .
GASTROENTEROLOGY, 2012, 142 (01) :46-54
[8]
Differences in the health-related quality of life, affective status, and personality between irritable bowel syndrome and inflammatory bowel disease patients [J].
Tkalcic, Mladenka ;
Hauser, Goran ;
Stimac, Davor .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2010, 22 (07) :862-867
[9]
Psychological adjustment and autonomic disturbances in inflammatory bowel diseases and irritable bowel syndrome.[J].Sonia Pellissier;Cécile Dantzer;Fréderic Canini;Nicolas Mathieu;Bruno Bonaz.Psychoneuroendocrinology.2009, 5
[10]
Depression; anxiety and their relationship with chronic diseases: a review of the epidemiology; risk and treatment evidence.[J].David M Clarke PhD; FRACGP; FRANZCP;Kay C Currie GradDipAppPsych; BA; MPH.Medical Journal of Australia.2009,