内科

目的探讨胃肠起搏联合认知行为治疗老年腹泻型肠易激综合征（IBS-D）患者的疗效以及对患者生活质量的影响。方法选取2019年7月至2020年7月我院收治的65例IBS-D患者作为研究对象，采用随机数字法分为试验组（32例）与常规组（33例）。常规组患者给予胃肠起搏治疗，试验组患者给予胃肠起搏联合认知行为治疗。比较两组患者干预前后的临床症状、不良情绪以及生活质量情况。结果干预前，两组患者的肠易激综合征症状严重程度量表（IBS-SSS）评分比较，差异无统计学意义（P＞0.05）；干预2个月后，试验组患者的IBS-SSS评分显著低于常规组，差异有统计学意义（P＜0.05）。干预前，两组患者的焦虑自评量表（SAS）、抑郁自评量表（SDS）评分比较，差异无统计学意义（P＞0.05）；干预2个月后，试验组患者的SAS、SDS评分明显低于常规组，差异有统计学意义（P＜0.05）。干预前，两组患者的IBS专用生活质量量表（IBS-QOL）评分比较，差异无统计学意义（P＞0.05）；干预2个月后，试验组患者的IBS-QOL评分明显高于常规组，差异有统计学意义（P＜0.05）。结论胃肠起搏联合认知行为治疗IBS-D患者临床疗效显著，可有效改善患者的临床症状及不良情绪，同时明显提高患者的生活质量。

ObjectiveTo investigate the efficacy of gastrointestinal pacing combined with cognitive behavior in the treatment of elderly patients with diarrhea-predominant irritable bowel syndrome (IBS-D) and its influences on the quality of life. MethodsA total of 65 elderly patients with IBS-D admitted to our hospital from July 2019 to July 2020 were selected as the research objects, and they were divided into experimental group (32 cases) and conventional group (33 cases) by the random number method. The conventional group was treated with gastrointestinal pacing, whereas the patients in experimental group were treated with gastrointestinal pacing combined with cognitive behavior for treatment. The pre- and post-intervention clinical symptoms, negative emotion and quality of life were compared between the two groups. ResultsBefore intervention, there was no statistically significant difference in Irritable Bowel Syndrome-Severity Scoring System (IBS-SSS) scores between the two groups (P＞0.05). After 2 months of intervention, the IBS-SSS score of the experimental group was significantly lower than that of the conventional group, with a statistically significant difference (P＜0.05). Before intervention, there were no statistically significant differences in the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) between the two groups (P＞0.05). After 2 months of intervention, the scores of SAS and SDS in the experimental group were significantly lower than those in the conventional group, with statistically significant differences (P＜0.05). Before intervention, there was no statistically significant difference in Irritable Bowel Syndrome-Quality of Life (IBS-QOL) scores between the two groups (P＞0.05). After 2 months of intervention, the IBS-QOL score of the experimental group was significantly higher than that of the conventional group, with a statistically significant difference (P＜0.05). ConclusionGastrointestinal pacing combined with cognitive behavior in the treatment of elderly patients with IBS-D has a significant clinical efficacy, which can effectively improve the clinical symptoms and negative emotions, and significantly improve the quality of life in patients.