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Treatment of irritable bowel syndrome in primary care

机译:初级保健中肠易激综合征的治疗

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Irritable bowel syndrome is a common condition with a community prevalence of 10-15% of the general population. The annual incidence in primary care is around 0.8%, and the prevalence of patients diagnosed in primary care is about 3-4%. The disorder is difficult to treat, hence the wide range of treatments used-dietary exclusion, fibre supplements, and pro-biotics; antispasmodic drugs, antidiarrhoeal agents, and laxatives; antidepressants, hypnotherapy, and cognitive behavioural therapy. This unusual spectrum of drug and non-drug treatments also highlights our ignorance about the cause of the condition. In the linked systematic review, Ford and colleagues summarise the effects of three different agents-fibre, anti-spasmodic drugs, and peppermint oil-in people with the syndrome.
机译:肠易激综合症是一种常见病,其社区患病率占总人口的10-15%。初级保健的年发病率约为0.8%,而初级保健中诊断出的患者患病率约为3-4%。这种疾病很难治疗,因此使用了广泛的治疗方法,包括饮食排斥,纤维补充剂和益生菌。解痉药,止泻药和泻药;抗抑郁药,催眠疗法和认知行为疗法。药物和非药物治疗的这种不寻常范围也突显了我们对病因的无知。在相关的系统评价中,福特及其同事总结了三种不同的药物-纤维,抗痉挛药物和薄荷油对患有该综合征的人的影响。

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