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中华消化病与影像杂志(电子版)

中华消化病与影像杂志(电子版) ›› 2017, Vol. 07 ›› Issue (06) : 261 -269. doi: 10.3877/cma.j.issn.2095-2015.2017.06.006

所属专题： 文献；

综述

儿童功能性胃肠病诊治进展
黄迪1, 李敏1, 高翔羽1,†()   
  1. 1. 221009　江苏徐州，南京中医药大学附属徐州市中心医院儿童诊疗中心
  • 收稿日期:2017-04-10 出版日期:2017-12-01
  • 通信作者: 高翔羽

Progress in diagnosis and treatment of childhood functional gastrointestinal disorders

Di Huang1, Min Li1, Xiangyu Gao1,†()   

  1. 1. Children Diagnosis and Treatment Center, Affiliated Xuzhou Center Hospital of Nanjing University of Chinese Medicine, Xuzhou 221009, China
  • Received:2017-04-10 Published:2017-12-01
  • Corresponding author: Xiangyu Gao
  • About author:
    Corresponding author: Gao Xiangyu, Email:
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黄迪, 李敏, 高翔羽. 儿童功能性胃肠病诊治进展[J]. 中华消化病与影像杂志(电子版), 2017, 07(06): 261-269.

Di Huang, Min Li, Xiangyu Gao. Progress in diagnosis and treatment of childhood functional gastrointestinal disorders[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2017, 07(06): 261-269.

功能性胃肠病(functional gastrointestinal disorders，FGIDs)是一组慢性或反复发作的、与心身因素相关的、消化道功能紊乱性非器质性疾病。2016年5月"罗马Ⅳ-功能性胃肠病"新标准发布，将FGIDs全新定义为肠-脑互动紊乱。各类临床症状的产生，主要是基于繁多复杂的"生物-心理-社会"病因的交互作用。儿童常见的FGIDs包括周期性呕吐综合征、功能性恶心与功能性呕吐、功能性消化不良、肠易激综合征、腹型偏头痛、非特异性功能性腹痛、功能性便秘等，大多可以主要基于症状做出初步诊断，但目前这类疾病几乎所有治疗都是对症的，没有太多"特效药物"，治疗后复发率较高，因此，需要正规、长期、随访、综合治疗。

关键词: 功能性胃肠病, 儿童, 药物治疗, 心理疗法

Functional gastrointestinal disorders(FGIDs)are a group of chronic or recurrent, related with psychosomatic factors, gastrointestinal dysfunction, non-organic diseases. "RomeⅣ-functional gastrointestinal disease" new standards were published in may 2016, and the new definition of FGIDs was enteric-brain interaction disorder.The emergence of various clinical symptoms is mainly based on the interaction of various and complicated "bio-psycho-social" pathogeny.FGIDs of children mainly include cyclic vomiting syndrome, functional nausea and functional vomiting, functional dyspepsia, irritable bowel syndrome, abdominal migraine, functional abdominal pain-not otherwise specified, and functional constipation.A primary diagnosis can be made from clinical signs of FGIDs in children.But now almost all the treatments of the disease are based on symptoms, no much "specific medicine" , and with a high recurrence rate.Therefore normal, long-term, follow-up and comprehensive treatments are needed.

Key words: Functional gastrointestinal disorders, Child, Drug therapy, Psychotherapy
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