首页|肠易激综合征患者性别差异的研究现状分析

肠易激综合征患者性别差异的研究现状分析

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肠易激综合征(IBS)是一种临床常见的功能性胃肠疾病,同时也是机制尚不明确的疾病,通常表现为反复发作的腹痛、腹胀或腹部不适,伴随排便习惯改变.随着患者就医意识的提高和临床研究的深入,越来越多的证据证实了 IBS发病率及临床症状都呈现出明显的性别差异.性别差异是科学研究中广泛存在且被普遍忽视的问题,这一差异在医学研究领域尤为明显也十分重要.但目前IBS诊疗指南或专家共识未对性别差异予以足够重视,且以往对这方面的研究内容也相对局限和分散,缺乏系统性阐述的文献可供参考.本文将从性激素、免疫、肠道菌群、脑功能等角度探讨IBS患者的性别差异研究现状,旨在为解释IBS的发病规律及探讨治疗策略提供新思路.
Analysis of the research status on gender differences in patients with irritable bowel syndrome
Irritable bowel syndrome(IBS)is a common clinical functional gastrointestinal disease,and its mechanism is still unclear.It usually manifests as recurrent abdominal pain,bloating or abdominal discomfort,accompanied by changes in defecation habits.With the improvement of patients'awareness of seeking medical treatment and the deepening of clinical research,more and more evidence confirms that the incidence and clinical symptoms of IBS show obvious gender differences.Gender difference is a widespread and neglected problem in scientific research,which is particularly obvious and important in the field of medical research.However,at present,the guidelines for diagnosis and treatment of IBS or the consensus of experts do not pay enough attention to gender differences,and the previous research contents in this area are relatively limited and scattered,and there is a lack of systematic literature for reference.This paper will discuss the research status of gender differences in patients with IBS from the perspectives of sex hormones,immunity,intestinal flora and brain function,aiming at providing new ideas for explaining the pathogenesis of IBS and exploring treatment strategies.

Irritable bowel syndromeGender differencesSex hormoneIntestinal floraImmuneBrain functionResearch status

何花、张桢、张琪、高金龙、徐月

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成都中医药大学,四川成都 610075

重庆市中医院肛肠科,重庆 400061

肠易激综合征 性别差异 性激素 肠道菌群 免疫 脑功能 研究现状

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(18)