神经性厌食症:看待老问题的新视角
- 作者: Sosnova E.A.1, Sarkisyan R.A.1, Akhmetgaryaev E.R.1, Svidinskaya E.A.1, Ageev M.B.1
-
隶属关系:
- I.M. Sechenov First Moscow State Medical University
- 期: 卷 11, 编号 2 (2024)
- 页面: 105-113
- 栏目: Lectures
- URL: https://journal-vniispk.ru/2313-8726/article/view/260530
- DOI: https://doi.org/10.17816/aog623869
- ID: 260530
如何引用文章
详细
根据俄罗斯国家统计局的数据,2015年俄罗斯约有2.5%的青少年患有厌食症。在莫斯科,2015年至少有5%的年轻女性患有厌食症,但大多数专家认为真实数字要高得多,因为只有未能及时医治的病例才会被记录在案。神经性厌食症问题的紧迫性与患者的生命受到潜在威胁、饮食行为紊乱、伴随的精神疾病以及患者的精神状态普遍恶化有关。尽管表面上看诊断似乎很简单,但需要长期治疗的晚期患者更有可能会求助于医生。
厌食症的治疗需要采取综合方法,包括精神药物疗法、心理影响、饮食疗法、躯体病理和相关并发症的治疗。重要的是,所有这些方面的治疗必须同时进行。成功的关键在于心理医生对治疗的持续监控。由于患者营养失调,全身健康状况恶化,导致月经失调、与受孕和怀孕有关的并发症以及难产。因此,从精神病学、妇产科学的角度考虑这种疾病尤为重要。
作者简介
Elena A. Sosnova
I.M. Sechenov First Moscow State Medical University
Email: sosnova-elena@inbox.ru
ORCID iD: 0000-0002-1732-6870
SPIN 代码: 6313-9959
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, MoscowRafael’ A. Sarkisyan
I.M. Sechenov First Moscow State Medical University
Email: u.kol2016@yandex.ru
ORCID iD: 0009-0003-3329-2062
student
俄罗斯联邦, MoscowEmil’ R. Akhmetgaryaev
I.M. Sechenov First Moscow State Medical University
Email: dragonice8787@gmail.com
ORCID iD: 0009-0006-3300-1263
student
俄罗斯联邦, MoscowEvgeniya A. Svidinskaya
I.M. Sechenov First Moscow State Medical University
编辑信件的主要联系方式.
Email: svidinskaya@gmail.com
ORCID iD: 0000-0002-2368-1932
MD, Cand. Sci. (Medicine), Assistant Lecturer
俄罗斯联邦, MoscowMikhail B. Ageev
I.M. Sechenov First Moscow State Medical University
Email: mikhaageev@yandex.ru
ORCID iD: 0000-0002-6603-804X
MD, Cand. Sci. (Medicine), Assistant Professor
俄罗斯联邦, Moscow参考
- Protocol (algorithm) for the management of patients with anorexia nervosa in a hospital setting. Clinical Guidelines (Patient Management Protocols) developed jointly with the chief freelance specialists of the Moscow Department of Health. Moscow; 2015. Available from: d579134f4dd0f78ca6f2b7ef28771dbf.pdf (In Russ.)
- Antropova EJu, Chechulina OV, Mazitova MI, Danilova OV. Anorexia nervosa syndrome. The opinion of gynecologist-endocrinologist. Medical Almanac. 2017;(6):99–101. EDN: ZSMOIR
- Davletshina LA, Karmanov MV. Current Issues of Anorexia Statistics. VestnikUniversiteta. 2021;(9):160–165. doi: 10.26425/1816-4277-2021-9-160-165
- Zakharova LI. Anorexia nervosa: prevalence, diagnostic criteria and psychosomatic relationships (review). Research Results in Biomedicine. 2019;5(1):108–121. doi: 10.18413/2313-8955-2019-5-1-0-8
- Jagielska G, Kacperska I. Outcome, comorbidity and prognosis in anorexia nervosa. Psychiatr Pol. 2017;51(2):205–218. doi: 10.12740/PP/64580
- Peterson K, Fuller R. Anorexia nervosa in adolescents: An overview. Nursing. 2019;49(10):24–30. doi: 10.1097/01.NURSE.0000580640.43071.15
- Moskowitz L, Weiselberg E. Anorexia Nervosa/Atypical Anorexia Nervosa. Curr Probl Pediatr Adolesc Health Care. 2017;47(4):70–84. doi: 10.1016/j.cppeds.2017.02.003
- Boland R, Verduin ML, Ruiz P. Kaplan and Sadock’s Synopsis of Psychiatry. 12th Edition. Ruiz P., consulting editor. Philadelphia: Wolters Kluwer Health; 2021.
- Zipfel S, Giel KE, Bulik CM, et al. Anorexia nervosa: aetiology, assessment, and treatment. Lancet Psychiatry.2015;2(12):1099–1111. doi: 10.1016/S2215-0366(15)00356-9
- Dubrovskaya MI, Davidenko NV, Zubova TV, et al. Anorexia nervosa in pediatric practice. Lvrach.ru. Meditsinskii nauchno-prakticheskii portal. 2016;(1). [Elektronnyi resurs]. (In Russ.) Available from: https://www.lvrach.ru/2016/01/15436378?ysclid=ltd2jre4fq568695785
- Yuldashev VL, Khalikova RA, Sadrtdinov DA.The case of anorexia nervosa in clinical practice. E-SCIO. 2021;(1):501–57. (In Russ.) EDN: QCGGMJ
- Riedlinger C, Mazurak N, Schäffeler N, et al. Gastrointestinal complaints in patients with anorexia nervosa in the timecourse of inpatient treatment. Front Psychiatry. 2022;13:962837. doi: 10.3389/fpsyt.2022.962837
- Demeshkina LV, Serdiuchenko ON, Ptushkina DA, Petishko OP. Anorexia nervosa: review and clinical case. Gastroenterology. 2015;(3):59–65. doi: 10.22141/2308-2097.3.57.2015.81528
- World Health Organization. Mental health of adolescents. WHO; 2021. Available from: https://www.who.int/ru/news-room/fact-sheets/detail/adolescent-mental-health
- Abdelhadi Z, Bladbjerg EM, Jensen DM, et al. Venous thromboembolism in anorexia nervosa: four cases from a specialized unit. Indication for thromboprophylaxis? Eat Weight Disord. 2020;25(6):1833–1837. doi: 10.1007/s40519-019-00830-5
- Andreyeva VO. Amenorrhea in Patients with Anorexia Nervosa ― Wait or Treat? Effective Pharmacotherapy. Obstetrics and Gynecology. 2015;25(3):32–36.
补充文件
