中枢介导性腹痛综合征中西医治疗进展

Centrally Mediated Abdominal Pain Syndrome of Abdominal Pain Syndromes of Traditional Chinese and Clinical Medicine

摘要: 中枢介导性腹痛综合征(CAPS)是一种呈持续的或近乎持续性腹痛为主要表现综合征。其病因及发病机制尚不完全明确，目前多数学者认为其发病机制主要为内脏高敏感、脑–肠互动、社会心理因素等。该类病患的发病多与情绪相关，因反复多次住院，不仅增添患者焦虑情绪，且占用大量医疗资源。目前针对CAPS患者的治疗尚无统一的共识意见，西医治疗多以缓解症状为主，但病情易反复，且患者医从性较差。中医药通过辨证施治，治疗该病具有独特优势，需不断挖掘，寻找更加系统、规范的治疗共识；中医外治历史悠久，种类繁多，前景广阔；中西结合更具疗效，需不断探索，寻求更佳治疗方案。本文通过查阅相关文献，从现代医学、传统医学的内服与外治以及现代医学与传统医学相结合等方面进行概述，以期为临床治疗提供参考价值。

Abstract: Centrally mediated abdominal pain syndrome (CAPS) is a kind of continuous or nearly persistent abdominal pain as the main performance syndrome. Its etiology and pathogenesis is not fully clear, at present most of scholars believe that the main pathogenesis as visceral high sensitive, brain-im interaction and social psychological factors. The patient’s disease associated with mood, more because of repeated several times in the hospital, not only add patients’ anxiety, and take up a lot of medical resources. At present for the treatment of patients with CAPS, there is no uniform consensus opinion, clinical medicine more give priority to in order to alleviate the symptoms, but the illness easily repeatedly, and poor patients cure from sex. By evidence-based medicine of traditional Chinese medicine, treatment of the disease has a unique advantage, the need to develop, looking for a more systematic, standardized treatment; external treatment of traditional Chinese medicine has a long history and a wide range of prospect; traditional Chinese and clinical combined with more curative effect, need to continuously explore, to seek better treatments. In this paper, by consulting relevant literature, from the internal and external treatment of clinical medicine and traditional Chinese medicine and clinical medicine combined with traditional Chinese medicine and so on are summarized, so as to provide reference for clinical value.