胃肠病学
胃腸病學
위장병학
CHINESE JOURNAL OF GASTROENTEROLOGY
2015年
5期
257-260
,共4页
胃肠疾病%消化不良%免疫%嗜酸细胞%肥大细胞%感染后功能性消化不良
胃腸疾病%消化不良%免疫%嗜痠細胞%肥大細胞%感染後功能性消化不良
위장질병%소화불량%면역%기산세포%비대세포%감염후공능성소화불량
Gastrointestinal Diseases%Dyspepsia%Immunity%Eosinophils%Mast Cells%Post-Infectious Functional Dyspepsia
功能性消化不良( FD)的病因和发病机制尚不明了,近年研究表明免疫反应在食物过敏、炎症相关和感染后FD的发病中起介导作用,十二指肠黏膜嗜酸细胞增多和激活、胃和十二指肠局部炎症免疫细胞浸润、外周免疫反应与胃排空延迟、近端胃感觉功能下降、内脏高敏感和FD症状相关。从阻断免疫反应的角度探讨难治性或特殊类型FD的治疗具有一定的前景。
功能性消化不良( FD)的病因和髮病機製尚不明瞭,近年研究錶明免疫反應在食物過敏、炎癥相關和感染後FD的髮病中起介導作用,十二指腸黏膜嗜痠細胞增多和激活、胃和十二指腸跼部炎癥免疫細胞浸潤、外週免疫反應與胃排空延遲、近耑胃感覺功能下降、內髒高敏感和FD癥狀相關。從阻斷免疫反應的角度探討難治性或特殊類型FD的治療具有一定的前景。
공능성소화불량( FD)적병인화발병궤제상불명료,근년연구표명면역반응재식물과민、염증상관화감염후FD적발병중기개도작용,십이지장점막기산세포증다화격활、위화십이지장국부염증면역세포침윤、외주면역반응여위배공연지、근단위감각공능하강、내장고민감화FD증상상관。종조단면역반응적각도탐토난치성혹특수류형FD적치료구유일정적전경。
The etiology and pathogenesis of functional dyspepsia( FD)are still unknown,recent studies showed that immune responses play a mediation role in the pathogenesis of food allergy,inflammation-related and post-infectious FD. The increased and activated eosinophils in duodenal mucosa,the infiltration of inflammatory immune cells in gastric and duodenal mucosa,and the peripheral immune responses are correlated with delayed gastric emptying,decrease of sensory function of proximal stomach,visceral hypersensitivity and FD symptoms. Strategies that suppress immune response might be prospective for subset of FD patients with evidences of immune dysregulation.