Behaviorally treated irritable bowel syndrome patients: a four-year follow-up.
Behaviorally treated irritable bowel syndrome patients: a four-year follow-up.
复制标题
对肠易激综合征患者进行行为治疗：四年随访。
DOI：
10.1016/0005-7967(90)90085-w
复制
发表时间：
1990
影响因子：
4.1
通讯作者：
Blanchard,EB
中科院分区：
文献类型：
--
作者：
Schwarz,SP;Taylor,AE;Scharff,L;Blanchard,EB
27例肠易激综合征（IBS）患者中有19例完成了多组分治疗，包括渐进式肌肉放松，热生物反馈，认知治疗和IBS教育，并在治疗后4年进行了评估。19人中有17人（89.5人，占原始样本总数的63%）认为自己的改善超过50%。提交症状监测日记的12名患者中有6名（50%）符合我们的临床改善标准，即原发性IBS症状评分至少降低50%。长期随访时所有指标的平均值均低于治疗前获得的平均值。当随访症状平均值与治疗前平均值比较时，腹痛/压痛、腹泻、恶心和肠胃气胀显著减少（P< 0.05）。
Nineteen of 27 patients suffering from Irritable Bowel Syndrome (IBS) who had completed a multicomponent treatment involving progressive muscle relaxation, thermal biofeedback, cognitive therapy and IBS education were located and evaluated 4 yr posttreatment. Seventeen of 19 (89.5, or 63% of the total original sample) rated themselves as more than 50% improved. Six of the 12 patients (50%) who submitted symptom monitoring diaries met our criteria for clinical improvement, i.e. achieving at least a 50% reduction in primary IBS symptom scores. The means on all measures at long-term follow-up were lower than those obtained prior to treatment. When follow-up symptom means were compared with pretreatment means, significant (P< 0.05) reductions were obtained on abdominal pain/tenderness, diarrhea, nausea, and flatulence.