肠易激综合征的新概念幻灯片课件.ppt

肠易激综合征的新概念Newest concepts in irritable bowel syndromeIBS;旧概念： 过敏性结肠炎 易激结肠 或黏液性结肠炎 ; 新概念：一种以腹痛或腹部不适伴排便习惯改变为特征的功能性肠病 …a group of functional bowel disorders in which discomfort or pain is associated with defecation or a change in bowel habit , and with features of disordered defecation. ;该病缺乏可解释症状的形态学改变和生化异常;Psychologic disturbance relates to patients who see physicians Psychosocial factors influence health care seeking; Development of IBS pathophysiology ｛ inflammation 5-HT mediated hypersensitivity and gut motility Brain-gut interaction Visceral hypersensitivity Abnormal motor function 1950 1960 1970 1980 1990 2000 ;IBS发病机制的认识;IBS发病机制的认识; Visceral Hypersensitivity hyperalgesia allodynia;IBS发病机制的认识;Serotonin(5-HT) in the human gut;IBS发病机制的认识;;IBS发病机制的认识;;;;Motility Secretion Blood Flow Inflammation;IBS发病机制的认识;Extracellular network regulation ;How to develop in a person?;;Predisposing factors;Predisposing factors;Predisposing factors;How to diagnose ？;诊断;诊断标准;Rome I Criteria Rome II Criteria;The Rome II criteria ;支持IBS诊断的症状累积;该诊断的体现的几个重要原则;表现分型;表现分型;表现分型;表现分型;诊断流程;诊断流程;诊断流程;What is the best management approach?;治疗;治疗原则;Drugs for dominant in IBS;治疗原则;;治疗原则;心理治疗 ;心理治疗;DefinitionPathogenesisDiagnosisTreatment;