{"id":10376,"date":"2025-04-16T17:22:19","date_gmt":"2025-04-16T09:22:19","guid":{"rendered":"https:\/\/www.stdhc.org.hk\/express\/?p=10376"},"modified":"2025-04-22T10:36:54","modified_gmt":"2025-04-22T02:36:54","slug":"ibs-nondrug","status":"publish","type":"post","link":"https:\/\/www.stdhc.org.hk\/express\/ibs-nondrug\/","title":{"rendered":"\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u8207\u975e\u85e5\u7269\u6cbb\u7642"},"content":{"rendered":"<h3>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff08Irritable Bowel Symptom\uff0cIBS\uff09\u53c8\u7a31\u8178\u8e81\u75c7\uff0c\u662f\u4e00\u7a2e\u529f\u80fd\u6027\u8178\u80c3\u969c\u7919\u75be\u75c5\uff0c\u901a\u5e38\u6d88\u5316\u9053\u4e2d\u4e26\u6c92\u6709\u4efb\u4f55\u53ef\u898b\u7684\u640d\u50b7\u6216\u75be\u75c5\u8de1\u8c61\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u76ee\u524d\u5c1a\u7121\u5b8c\u5168\u6839\u6cbb\u65b9\u6cd5\uff0c\u6539\u8b8a\u751f\u6d3b\u3001\u98f2\u98df\u7fd2\u6163\u548c\u85e5\u7269\u6cbb\u7642\u901a\u5e38\u80fd\u5e6b\u52a9\u63a7\u5236\u75c7\u72c0\u3002<\/h3>\n<p>&nbsp;<\/p>\n<h4>\u6982\u8ad6<\/h4>\n<p>\u672c\u6e2f\u7d047%\u4eba\u53e3\u60a3\u6709\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u53ef\u5206\u70ba\u4ee5\u4e0b\u56db\u7a2e\u4e9e\u578b\uff0c\u5206\u5225\u662f\u4fbf\u79d8\u578b\uff08IBS-Constipation\uff09\u3001\u8179\u7009\u578b\uff08IBS-Diarrhea\uff09\u3001\u6df7\u5408\u578b\uff08IBS-Mixed\uff09\u548c\u672a\u5206\u985e\u578b\uff08IBS-Unclassified\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u98a8\u96aa\u56e0\u5b50<\/h4>\n<ul>\n<li>\u5e74\u9f61\uff1a50\u6b72\u6216\u4ee5\u4e0b\u4eba\u58eb\u8f03\u5927\u6a5f\u6703\u7f79\u60a3\u8178\u6613\u6fc0\u7d9c\u5408\u75c7<\/li>\n<li>\u6027\u5225\uff1a\u5973\u6027\u8f03\u5927\u6a5f\u6703\u7f79\u60a3\u8178\u6613\u6fc0\u7d9c\u5408\u75c7<\/li>\n<li>\u5bb6\u65cf\u75c5\u53f2<\/li>\n<li>\u75be\u75c5\uff1a\u60a3\u6709\u7126\u616e\u75c7\u548c\u3001\u6291\u9b31\u75c7\u6216\u5176\u4ed6\u7cbe\u795e\u75be\u75c5<\/li>\n<li>\u5fc3\u7406\u58d3\u529b<\/li>\n<li>\u5438\u7159<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u8a3a\u65b7\u65b9\u6cd5<\/h4>\n<p>\u6309\u7167\u7f85\u99ac\u6e96\u5247 IV\uff0c\u8a3a\u65b7\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6e96\u5247\u662f\u6301\u7e8c\u8179\u75db\uff08\u904e\u53bb\u4e09\u500b\u6708\u6bcf\u661f\u671f\u81f3\u5c11\u6709\u4e00\u5929\u8179\u75db\uff09\uff0c\u4e26\u7b26\u5408\u4ee5\u4e0b\u5169\u9805\u6216\u4ee5\u4e0a\u75c7\u72c0\uff1a<\/p>\n<ol>\n<li>\u8207\u6392\u4fbf\u6709\u95dc<\/li>\n<li>\u8207\u6392\u4fbf\u983b\u7387\u8b8a\u5316\u6709\u95dc<\/li>\n<li>\u8207\u7cde\u4fbf\u5f62\u72c0\uff08\u5916\u89c0\uff09\u6539\u8b8a\u6709\u95dc<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u904e\u53bb\u4e09\u500b\u6708\u7b26\u5408\u4ee5\u4e0a\u689d\u4ef6\uff0c\u4e26\u4e14\u75c7\u72c0\u5728\u8a3a\u65b7\u524d\u81f3\u5c11\u516d\u500b\u6708\u51fa\u73fe\uff0c\u624d\u7b97\u662f\u78ba\u8a3a\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c5\u56e0\u548c\u6a5f\u7406<\/h4>\n<p><em>\u8178\u8166\u4e92\u52d5\u969c\u7919<\/em><\/p>\n<p>\u4eba\u985e\u7684\u8178\u9053\u53ef\u4ee5\u50b3\u905e\u8a0a\u606f\u5230\u5927\u8166\uff0c\u85c9\u6b64\u8abf\u7bc0\u5176\u4ed6\u8eab\u9ad4\u6a5f\u80fd\u4ee5\u9054\u81f3\u5e73\u8861\uff0c\u5f62\u6210\u300c\u8178\u9053-\u5927\u8166\u8ef8\uff08\u8178\u8166\u8ef8\uff09\u300d\uff08Gut-brain axis\uff09\u3002\u8178\u8166\u8ef8\u7684\u529f\u80fd\u5931\u8abf\u53ef\u5c0e\u81f4\u8178\u9053\u8815\u52d5\u7570\u5e38\u3001\u8178\u9053\u5c4f\u969c\u529f\u80fd\u53d7\u640d\u3001\u5167\u81df\u904e\u5ea6\u654f\u611f\uff08Visceral Hypersensitivity\uff09\u7b49\u5f8c\u679c\u3002\u6700\u5f8c\uff0c\u6709\u6a5f\u6703\u6539\u8b8a\u8178\u9053\u8815\u52d5\u901f\u5ea6\u548c\u8178\u9053\u6ef2\u900f\u6027\uff0c\u5c0e\u81f4\u4e00\u7cfb\u5217\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\uff0c\u4f8b\u5982\u4fbf\u79d8\u3001\u8179\u7009\u3001\u6392\u4fbf\u7fd2\u6163\u6539\u8b8a\u7b49\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u5fc3\u7406\u56e0\u7d20<\/em><\/p>\n<p>\u6709\u6587\u737b\u986f\u793a\uff0c\u591a\u9054\u4e09\u5206\u4e4b\u4e00\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u4ea6\u6703\u611f\u53d7\u5230\u7126\u616e\u6216\u6291\u9b31\u75c7\u72c0\uff0c\u800c\u4e14\u9019\u4e9b\u7cbe\u795e\u75c7\u72c0\u548c\u75be\u75c5\u8207\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u662f\u4e00\u7a2e\u96d9\u5411\u95dc\u4fc2\uff0c\u5f7c\u6b64\u6703\u4e92\u76f8\u589e\u52a0\u5176\u98a8\u96aa\u3002\u53e6\u5916\uff0c\u6025\u6027\u6216\u6162\u6027\u58d3\u529b\u6703\u640d\u5bb3\u8178\u9053\u529f\u80fd\u4e26\u56e0\u6b64\u53ef\u4ee5\u5f15\u81f4\u8178\u9053\u75c7\u72c0\u3002\u66f4\u751a\u7684\u662f\uff0c\u5728\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u4e2d<strong>\uff0c<\/strong>\u8ca0\u8cac\u7de9\u885d\u58d3\u529b\u5c0e\u81f4\u5404\u7a2e\u751f\u7406\u53cd\u61c9\u7684\u4e0b\u4e18\u8166-\u5782\u9ad4-\u814e\u4e0a\u817a\u8ef8\uff08HPA axis\uff09\u6709\u8f03\u9ad8\u6a5f\u7387\u51fa\u73fe\u5931\u8abf\u73fe\u8c61\uff0c\u9019\u5c0e\u81f4\u60a3\u8005\u7684\u8178\u9053\u66f4\u5bb9\u6613\u53d7\u5230\u58d3\u529b\u5f71\u97ff\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0<\/h4>\n<p><em>\u75c7\u72c0<\/em><\/p>\n<ul>\n<li>\u8179\u90e8\u75bc\u75db\u6216\u75d9\u6523<\/li>\n<li>\u8179\u8139<\/li>\n<li>\u8179\u7009\uff1a\u7cde\u4fbf\u6216\u6703\u5448\u6c34\u72c0\uff0c\u6709\u6a5f\u6703\u7a81\u7136\u6392\u4fbf<\/li>\n<li>\u4fbf\u79d8\uff1a\u6392\u4fbf\u6642\u611f\u5230\u8cbb\u529b\uff0c\u611f\u89ba\u7121\u6cd5\u5b8c\u5168\u6392\u51fa\u7cde\u4fbf<\/li>\n<li>\u6392\u4fbf\u7fd2\u6163\u6539\u8b8a\uff1a\u53ef\u4ee5\u662f\u4fbf\u79d8\u6216\u8179\u7009<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><em>\u75c7\u72c0\u5206\u8fa8<\/em><\/p>\n<ul>\n<li>\u5927\u8178\u764c\uff1a\u65e9\u671f\u5927\u8178\u764c\u7684\u75c7\u72c0\u8f03\u4e0d\u660e\u986f\uff0c\u751a\u81f3\u53ef\u80fd\u8207\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u76f8\u4f3c\u3002\u82e5\u60a3\u8005\u51fa\u73fe\u9ed1\u8272\u7a00\u721b\u5927\u4fbf\u3001\u5927\u4fbf\u5e36\u8840\u3001\u4e0d\u660e\u539f\u56e0\u7684\u9ad4\u91cd\u7a81\u7136\u4e0b\u964d\u548c\u4e0d\u660e\u539f\u56e0\u7684\u8179\u75db\u7b49\u75c7\u72c0\uff0c\u6216\u6709\u5bb6\u65cf\u6027\u8178\u764c\u75c5\u53f2\uff0c\u61c9\u53ca\u65e9\u9032\u884c\u5927\u8178\u5167\u8996\u93e1\u6aa2\u67e5\u3002<\/li>\n<li>\u8178\u80c3\u708e\uff1a\u82e5\u767c\u73fe\u8178\u80c3\u708e\u76f8\u95dc\u75c7\u72c0\uff0c\u4f8b\u5982\u4f4e\u71d2\u53ca\u8179\u7009\uff0c\u8acb\u7acb\u5373\u6c42\u91ab\uff0c\u4ee5\u53ca\u6642\u7372\u8655\u65b9\u9069\u5207\u7684\u6cbb\u7642\u3002<\/li>\n<li>\u75d4\u7621\uff1a\u75d4\u7621\u7684\u75c7\u72c0\u5305\u62ec\u5927\u4fbf\u5e36\u8840\u53ca\u6392\u4fbf\u6642\u809b\u9580\u611f\u5230\u75db\u695a\uff0c\u5927\u4fbf\u4e0a\u6709\u53ef\u80fd\u5e36\u6709\u9bae\u8840\uff0c\u5b9c\u5118\u65e9\u6c42\u91ab\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #0000ff;\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\u8207\u5176\u4ed6\u75c5\u75c7\u76f8\u4f3c\uff0c\u5e02\u6c11\u5982\u6709\u4efb\u4f55\u76f8\u95dc\u75c7\u72c0\uff0c\u61c9\u5c0b\u6c42\u91ab\u8b77\u4eba\u54e1\u610f\u898b\uff0c\u5fcc\u81ea\u6211\u8a3a\u65b7\u548c\u81ea\u884c\u8655\u7406\uff0c\u4ee5\u514d\u5ef6\u8aa4\u9069\u7576\u6cbb\u7642\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<h4>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u975e\u85e5\u7269\u6cbb\u7642<\/h4>\n<p>&nbsp;<\/p>\n<p><strong><em>\u751f\u6d3b\u7fd2\u6163\u8abf\u6574<\/em><\/strong><\/p>\n<ol>\n<li>\u9ad4\u529b\u6d3b\u52d5<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u7814\u7a76\u986f\u793a\uff0c\u6bcf\u9031\u9032\u884c\u4e09\u81f3\u4e94\u5929 20 \u81f3 60 \u5206\u9418\u4e2d\u7b49\u5f37\u5ea6\u6d3b\u52d5\u7684\u4eba\uff0c\u76f8\u6bd4\u6c92\u6709\u904b\u52d5\u7fd2\u6163\u7684\u4eba\uff0c\u5728\u5341\u4e8c\u9031\u5f8c\u6709\u8f03\u5927\u6a5f\u6703\u6539\u5584\u6574\u9ad4\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff0c\u75c7\u72c0\u7684\u60e1\u5316\u7387\u4e5f\u8f03\u6c92\u6709\u9ad4\u529b\u6d3b\u52d5\u7684\u4eba\u4f4e\u3002\u4e2d\u7b49\u5f37\u5ea6\u904b\u52d5\u6307\u5728\u9032\u884c\u904b\u52d5\u6642\uff0c\u547c\u5438\u8207\u5fc3\u8df3\u7565\u5fae\u52a0\u5feb\u4e26\u51fa\u73fe\u8f15\u5fae\u6d41\u6c57\uff0c\u4ecd\u80fd\u8aaa\u8a71\u4f46\u4e0d\u80fd\u5531\u6b4c\uff0c\u4f8b\u5982\u6025\u6b65\u884c\u3001\u9a0e\u55ae\u8eca\u3001\u4e52\u4e53\u7403\u3001\u6e38\u6cf3\u7b49\u3002\u60a3\u8005\u5011\u53ef\u4ee5\u5617\u8a66\u628a\u904b\u52d5\u878d\u5165\u65e5\u5e38\u751f\u6d3b\uff0c\u5982\u505a\u5bb6\u52d9\u3001\u9032\u9910\u5f8c\u5916\u51fa\u6563\u6b65\u3001\u4e0d\u4e58\u642d\u5347\u964d\u6a5f\u5118\u91cf\u884c\u6a13\u68af\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"2\">\n<li>\u7761\u7720\u885b\u751f<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u6307\u6539\u5584\u7761\u7720\u8cea\u7d20\u7684\u7fd2\u6163\u53ca\u74b0\u5883\u7684\u884c\u70ba\uff0c\u5982\u4f5c\u606f\u5b9a\u6642\u3001\u7dad\u6301\u8212\u9069\u3001\u5b89\u975c\u3001\u9ed1\u6697\u7684\u7761\u7720\u74b0\u5883\u3001\u907f\u514d\u5348\u7761\u3001\u907f\u514d\u5348\u5f8c\u98f2\u7528\u8336\u6216\u5496\u5561\u3001\u7761\u524d\u4e00\u5c0f\u6642\u907f\u514d\u770b\u96fb\u5b50\u5c4f\u5e55\u3001\u7761\u5e8a\u53ea\u7528\u4f5c\u7761\u89ba\u800c\u975e\u5176\u4ed6\u884c\u70ba\uff08\u5982\u770b\u624b\u6a5f\uff09\u7b49\u7b49\u3002\u82e5\u5931\u7720\u6301\u7e8c\uff0c\u53ef\u8003\u616e\u4f7f\u7528\u892a\u9ed1\u6fc0\u7d20\uff08Melatonin\uff09\uff0c\u6709\u6a5f\u6703\u6539\u5584\u5931\u7720\u4e4b\u9918\u4ea6\u53ef\u6539\u5584\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff08\u53ef\u53c3\u770b\u6587\u7ae0\u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/%e5%8a%a9%e7%9c%a0%e4%bf%9d%e5%81%a5%e5%93%81\/\">\u52a9\u7720\u4fdd\u5065\u54c1<\/a>\u300d\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"3\">\n<li>\u5fc3\u7406\u6cbb\u7642\u548c\u6e1b\u58d3<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\uff08Cognitive behavioral therapy\uff0cCBT\uff09\u662f\u4e00\u7a2e\u4ee5\u76ee\u6a19\u70ba\u5c0e\u5411\u7684\u89e3\u6c7a\u554f\u984c\u578b\u5fc3\u7406\u6cbb\u7642\uff0c\u65e8\u5728\u6e1b\u5c11\u4e0d\u826f\u4fe1\u5ff5\u53ca\u8207\u58d3\u529b\u76f8\u95dc\u7684\u884c\u70ba\uff0c\u53ef\u4ee5\u6709\u6548\u6e1b\u5c11\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u7684\u75bc\u75db\u3001\u58d3\u529b\u3001\u6182\u9b31\u548c\u7126\u616e\u3002<\/li>\n<li>\u8178\u9053\u5c0e\u5411\u50ac\u7720\u6cbb\u7642\uff08Gut-Directed Hypnotherapy\uff0cGDH\uff09\u5229\u7528\u6cbb\u7642\u5e2b\u6307\u5c0e\u7684\u6697\u793a\u4f86\u4fc3\u9032\u6d88\u5316\u9053\u653e\u9b06\uff0c\u4e26\u5c07\u4e0d\u5fc5\u8981\u7684\u6ce8\u610f\u529b\u5f9e\u8eab\u9ad4\u7684\u4e0d\u9069\u4e2d\u8f49\u79fb\u8d70\u3002<\/li>\n<\/ul>\n<ul>\n<li>\u6b63\u5ff5\u6e1b\u58d3\u7642\u6cd5\uff08Mindfulness-based stress reduction\uff0cMBSR\uff09\u662f\u4e00\u7a2e\u4ee4\u60a3\u8005\u8eab\u5fc3\u653e\u9b06\u7684\u7642\u6cd5\uff0c\u65e8\u5728\u589e\u5f37\u60a3\u8005\u653e\u9b06\u3001\u61c9\u5c0d\u58d3\u529b\u548c\u7ba1\u7406\u75bc\u75db\u7684\u80fd\u529b\uff0c\u76ee\u524d\u5df2\u88ab\u61c9\u7528\u65bc\u591a\u7a2e\u7cbe\u795e\u75be\u75c5\u548c\u6162\u6027\u75db\u75c7\u7684\u6cbb\u7642\u4e2d\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><em>\u98f2\u98df\u7fd2\u6163\u8abf\u6574<\/em><\/strong><\/p>\n<ol>\n<li>\u50b3\u7d71\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u98f2\u98df\u5efa\u8b70<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u4e09\u9910\u5b9a\u6642\u3001\u5c11\u98df\u591a\u9910<\/li>\n<li>\u907f\u514d\u9032\u98df\u5bb9\u6613\u7522\u751f\u80c3\u6c23\u7684\u98df\u7269\uff08\u5982\u8c46\u985e\uff09<\/li>\n<li>\u907f\u514d\u9032\u98df\u9ad8\u6cb9\u81a9\u548c\u8f9b\u8fa3\u98df\u7269<\/li>\n<li>\u907f\u514d\u9032\u98df\u542b\u4e73\u7cd6\u7684\u98df\u7269<\/li>\n<li>\u907f\u514d\u9032\u98df\u975e\u6c34\u6eb6\u6027\u7e96\u7dad<\/li>\n<li>\u9069\u91cf\u9032\u98df\u6c34\u6eb6\u6027\u7e96\u7dad<\/li>\n<li>\u591a\u98f2\u6c34\uff0c\u6e1b\u5c11\u651d\u53d6\u9152\u7cbe\u3001\u5496\u5561\u56e0\u548c\u78b3\u9178\u98f2\u6599<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ol start=\"2\">\n<li>\u4f4e\u654f\u8179\u98f2\u98df\u5efa\u8b70\uff08Low-FODMAP diet\uff09<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>FODMAP\u662f\u300c\u767c\u9175\u5be1\u7cd6\u3001\u4e8c\u7cd6\u3001\u55ae\u7cd6\u548c\u591a\u5143\u9187\u300d\uff08Fermentable Oligo-, Di-, and Monosaccharides And Polyols\uff09\u7684\u9996\u5b57\u6bcd\u7e2e\u5beb\uff0c\u662f\u5728\u5c0f\u8178\u4e2d\u96e3\u4ee5\u5438\u6536\u7684\u77ed\u93c8\u78b3\u6c34\u5316\u5408\u7269\uff0c\u7559\u5728\u8178\u9053\u6703\u767c\u9175\u6216\u4ee4\u904e\u591a\u6c34\u5206\u9032\u5165\u8178\u9053\uff0c\u5c0e\u81f4\u8178\u6c23\u3001\u8179\u7009\u3001\u4fbf\u79d8\u3001\u8178\u75d9\u6523\u548c\u75bc\u75db\u7b49\u75c7\u72c0\u3002\u4f4eFODMAP\u98f2\u98df\u4e0d\u4e00\u5b9a\u9069\u5408\u6240\u6709\u4eba\uff0c\u53ea\u9069\u5408\u56e0FODMAP\u5c0e\u81f4\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\u7684\u60a3\u8005\uff0c\u800c\u60a3\u8005\u53ef\u80fd\u53ea\u53d7\u90e8\u4efd\u98df\u7269\u5f71\u97ff\uff0c\u4e26\u4e0d\u4e00\u5b9a\u8981\u5b8c\u5168\u907f\u514d\u9032\u98dfFODMAP\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4f4eFODMAP\u98f2\u98df\u4e09\u6b65\u66f2\uff1a<\/p>\n<ul>\n<li>\u7b2c\u4e00\u6b65\uff1a\u53ea\u5403\u4f4e\u8179\u654f\u98df\u7269\uff0c\u907f\u514d\u9032\u98df\u9ad8\u8179\u654f\u98df\u72696\u81f38\u9031\uff0c\u540c\u6642\u5bc6\u5207\u76e3\u6e2c\u75c7\u72c0\uff08\u5982\u5927\u4fbf\u60c5\u6cc1\uff09\u3002\u5982\u679c\u75c7\u72c0\u6709\u6539\u5584\uff0c\u5247\u9032\u5165\u7b2c\u4e8c\u6b65\uff1b\u5982\u679c\u75c7\u72c0\u672a\u898b\u6539\u5584\uff0c\u5247\u75c7\u72c0\u53ef\u80fd\u8207\u9ad8\u8179\u654f\u98df\u7269\u7121\u95dc\uff0c\u5728\u9019\u7a2e\u60c5\u6cc1\u4e0b\uff0c\u61c9\u9032\u884c\u5176\u4ed6\u98f2\u98df\u8abf\u6574\u548c\u6cbb\u7642\u3002<\/li>\n<li>\u7b2c\u4e8c\u6b65\uff1a\u9010\u6b65\u91cd\u65b0\u5617\u8a66\u9032\u98df\u9ad8FODMAP\u98df\u7269\uff0c\u4ee5\u78ba\u5b9a\u5c0d\u5177\u9ad4\u6bcf\u4e00\u7a2e\u767c\u9175\u78b3\u6c34\u5316\u5408\u7269\u7684\u8010\u53d7\u6027\u3002\u6bcf\u6b21\u91cd\u65b0\u5617\u8a66\u9032\u98df\u4e00\u7a2e\u9ad8FODMAP\u98df\u7269\uff0c\u4e26\u5728\u5617\u8a66\u9032\u98df\u65b0\u98df\u7269\u4e4b\u9593\u4fdd\u6301\u6578\u5929\u7684\u9593\u9694\u3002\u540c\u6642\u8a18\u9304\u6bcf\u5929\u7684\u98f2\u98df\uff0c\u4e26\u6301\u7e8c\u76e3\u6e2c\u548c\u8a18\u9304\u75c7\u72c0\u3002<\/li>\n<li>\u7b2c\u4e09\u6b65\uff1a\u6839\u64da\u75c7\u72c0\u8a18\u9304\u3001\u98f2\u98df\u8a18\u9304\u548c\u71df\u990a\u5e2b\u7684\u6307\u5c0e\uff0c\u5c0d\u65e5\u5e38\u7684\u98f2\u98df\u9032\u884c\u500b\u4eba\u5316\u7684\u8abf\u6574\uff0c\u907f\u514d\u9032\u98df\u5bb9\u6613\u5f15\u8d77\u75c7\u72c0\u7684\u98df\u7269\uff1b\u53ef\u9069\u7528\u65bc\u9577\u671f\u4f7f\u7528\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u9ad8\/\u4f4eFODMAP\u98df\u7269\u5206\u985e\u8868\uff1a<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-10386\" src=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1440\" srcset=\"https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-scaled.jpg 2560w, https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-300x169.jpg 300w, https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-1024x576.jpg 1024w, https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-768x432.jpg 768w, https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-1536x864.jpg 1536w, https:\/\/www.stdhc.org.hk\/express\/wp-content\/uploads\/2025\/04\/3-2048x1152.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<h4><\/h4>\n<h4><\/h4>\n<h4>\u7e3d\u7d50<\/h4>\n<ul>\n<li>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6210\u56e0\u4e3b\u8981\u70ba\u8178\u8166\u4e92\u52d5\u969c\u7919\u548c\u5fc3\u7406\u56e0\u7d20<\/li>\n<li>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\u70ba\u8179\u75db\u3001\u8179\u8139\u3001\u8179\u7009\u53ca\/\u6216\u4fbf\u79d8\u7b49\u7b49<\/li>\n<li>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u662f\u4e00\u7a2e\u7121\u6cd5\u6839\u6cbb\u7684\u75be\u75c5\uff0c\u4f46\u53ef\u4ee5\u900f\u904e\u975e\u85e5\u7269\u53ca\u85e5\u7269\u6cbb\u7642\u6539\u5584\u75c7\u72c0<\/li>\n<li>\u975e\u85e5\u7269\u6cbb\u7642\u7684\u91cd\u5fc3\u662f\u8981\u6539\u5584\u751f\u6d3b\u7fd2\u6163\uff0c\u5305\u62ec\u9ad4\u529b\u6d3b\u52d5\u3001\u98f2\u98df\u7fd2\u6163\u3001\u7d13\u7de9\u58d3\u529b\u7b49\u7b49<\/li>\n<\/ul>\n<p>\uff08\u6709\u95dc\u7528\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u85e5\u7269\uff0c\u53ef\u700f\u89bd<a href=\"https:\/\/www.stdhc.org.hk\/express\/ibs-drug\/\">\u300c\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u8207\u85e5\u7269\u6cbb\u7642\u300d<\/a>\u4e00\u6587\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b1\u8b80\ufe30<\/p>\n<ol>\n<li>\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\u91ab\u9662\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3002\u53d6\u81ea <a href=\"https:\/\/www.cuhkmc.hk\/tc\/health-corner\/functional-gastrointestinal-disorder\/irritable-bowel-syndrome-ibs\/irritable-bowel-syndrome-ibs\">https:\/\/www.cuhkmc.hk\/tc\/health-corner\/functional-gastrointestinal-disorder\/irritable-bowel-syndrome-ibs\/irritable-bowel-syndrome-ibs<\/a>\u3002<\/li>\n<li>National Health Service. Irritable Bowel Disease. 2025. Available at <a href=\"https:\/\/www.nhs.uk\/conditions\/irritable-bowel-syndrome-ibs\/symptoms\/\">https:\/\/www.nhs.uk\/conditions\/irritable-bowel-syndrome-ibs\/symptoms\/<\/a>.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90\ufe30<\/p>\n<ol>\n<li>Kwan AC, et al. Prevalence of irritable bowel syndrome in Hong Kong. <em>J Gastroenterol Hepatol. <\/em>2002;17(11):1180-1186.<\/li>\n<li>Nam SY, et al. Prevalence and risk factors of irritable bowel syndrome in healthy screenee undergoing colonoscopy and laboratory tests. <em>J<\/em><em> Neurogastroenterol and Motil<\/em>. 2010;16(1):47\u201351.<\/li>\n<li>Hillestad EMR, et al. Gut bless you: The microbiota-gut-brain axis in irritable bowel syndrome. <em>World <\/em><em>J <\/em><em>Gastroenterol<\/em>. 2022;28(4):412\u2013431.<\/li>\n<li>Staudacher HM, et al. Irritable bowel syndrome and mental health comorbidity \u2013 approach to multidisciplinary management. <em>Nat Rev Gastroenterol Hepatol.<\/em> 2023;20(9):582\u2013596.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u4f5c\u8005\ufe30\u8a3b\u518a\u85e5\u5291\u5e2b<\/p>\n<p>\u6700\u5f8c\u66f4\u65b0\u65e5\u671f\uff1a2025 \u5e74 4 \u6708<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff08Irritable Bowel Symptom\uff0cIBS\uff09\u53c8\u7a31\u8178\u8e81\u75c7\uff0c\u662f\u4e00\u7a2e\u529f\u80fd\u6027\u8178\u80c3\u969c\u7919\u75be\u75c5\uff0c\u901a\u5e38\u6d88\u5316\u9053\u4e2d\u4e26\u6c92\u6709\u4efb\u4f55\u53ef\u898b\u7684\u640d\u50b7\u6216\u75be\u75c5\u8de1\u8c61\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u76ee\u524d\u5c1a\u7121\u5b8c\u5168\u6839\u6cbb\u65b9\u6cd5\uff0c\u6539\u8b8a\u751f\u6d3b\u3001\u98f2\u98df\u7fd2\u6163\u548c\u85e5\u7269\u6cbb\u7642\u901a\u5e38\u80fd\u5e6b\u52a9\u63a7\u5236\u75c7\u72c0\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u6982\u8ad6<\/p>\n<p>\u672c\u6e2f\u7d047%\u4eba\u53e3\u60a3\u6709\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u53ef\u5206\u70ba\u4ee5\u4e0b\u56db\u7a2e\u4e9e\u578b\uff0c\u5206\u5225\u662f\u4fbf\u79d8\u578b\uff08IBS-Constipation\uff09\u3001\u8179\u7009\u578b\uff08IBS-Diarrhea\uff09\u3001\u6df7\u5408\u578b\uff08IBS-Mixed\uff09\u548c\u672a\u5206\u985e\u578b\uff08IBS-Unclassified\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u98a8\u96aa\u56e0\u5b50<\/p>\n<p>\u5e74\u9f61\uff1a50\u6b72\u6216\u4ee5\u4e0b\u4eba\u58eb\u8f03\u5927\u6a5f\u6703\u7f79\u60a3\u8178\u6613\u6fc0\u7d9c\u5408\u75c7<br \/>\n\u6027\u5225\uff1a\u5973\u6027\u8f03\u5927\u6a5f\u6703\u7f79\u60a3\u8178\u6613\u6fc0\u7d9c\u5408\u75c7<br \/>\n\u5bb6\u65cf\u75c5\u53f2<br \/>\n\u75be\u75c5\uff1a\u60a3\u6709\u7126\u616e\u75c7\u548c\u3001\u6291\u9b31\u75c7\u6216\u5176\u4ed6\u7cbe\u795e\u75be\u75c5<br \/>\n\u5fc3\u7406\u58d3\u529b<br \/>\n\u5438\u7159<\/p>\n<p>&nbsp;<\/p>\n<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u8a3a\u65b7\u65b9\u6cd5<\/p>\n<p>\u6309\u7167\u7f85\u99ac\u6e96\u5247 IV\uff0c\u8a3a\u65b7\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6e96\u5247\u662f\u6301\u7e8c\u8179\u75db\uff08\u904e\u53bb\u4e09\u500b\u6708\u6bcf\u661f\u671f\u81f3\u5c11\u6709\u4e00\u5929\u8179\u75db\uff09\uff0c\u4e26\u7b26\u5408\u4ee5\u4e0b\u5169\u9805\u6216\u4ee5\u4e0a\u75c7\u72c0\uff1a<\/p>\n<p>\u8207\u6392\u4fbf\u6709\u95dc<br \/>\n\u8207\u6392\u4fbf\u983b\u7387\u8b8a\u5316\u6709\u95dc<br \/>\n\u8207\u7cde\u4fbf\u5f62\u72c0\uff08\u5916\u89c0\uff09\u6539\u8b8a\u6709\u95dc<\/p>\n<p>&nbsp;<\/p>\n<p>\u904e\u53bb\u4e09\u500b\u6708\u7b26\u5408\u4ee5\u4e0a\u689d\u4ef6\uff0c\u4e26\u4e14\u75c7\u72c0\u5728\u8a3a\u65b7\u524d\u81f3\u5c11\u516d\u500b\u6708\u51fa\u73fe\uff0c\u624d\u7b97\u662f\u78ba\u8a3a\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c5\u56e0\u548c\u6a5f\u7406<\/p>\n<p><em>\u8178\u8166\u4e92\u52d5\u969c\u7919<\/em><\/p>\n<p>\u4eba\u985e\u7684\u8178\u9053\u53ef\u4ee5\u50b3\u905e\u8a0a\u606f\u5230\u5927\u8166\uff0c\u85c9\u6b64\u8abf\u7bc0\u5176\u4ed6\u8eab\u9ad4\u6a5f\u80fd\u4ee5\u9054\u81f3\u5e73\u8861\uff0c\u5f62\u6210\u300c\u8178\u9053-\u5927\u8166\u8ef8\uff08\u8178\u8166\u8ef8\uff09\u300d\uff08Gut-brain axis\uff09\u3002\u8178\u8166\u8ef8\u7684\u529f\u80fd\u5931\u8abf\u53ef\u5c0e\u81f4\u8178\u9053\u8815\u52d5\u7570\u5e38\u3001\u8178\u9053\u5c4f\u969c\u529f\u80fd\u53d7\u640d\u3001\u5167\u81df\u904e\u5ea6\u654f\u611f\uff08Visceral Hypersensitivity\uff09\u7b49\u5f8c\u679c\u3002\u6700\u5f8c\uff0c\u6709\u6a5f\u6703\u6539\u8b8a\u8178\u9053\u8815\u52d5\u901f\u5ea6\u548c\u8178\u9053\u6ef2\u900f\u6027\uff0c\u5c0e\u81f4\u4e00\u7cfb\u5217\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\uff0c\u4f8b\u5982\u4fbf\u79d8\u3001\u8179\u7009\u3001\u6392\u4fbf\u7fd2\u6163\u6539\u8b8a\u7b49\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u5fc3\u7406\u56e0\u7d20<\/em><\/p>\n<p>\u6709\u6587\u737b\u986f\u793a\uff0c\u591a\u9054\u4e09\u5206\u4e4b\u4e00\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u4ea6\u6703\u611f\u53d7\u5230\u7126\u616e\u6216\u6291\u9b31\u75c7\u72c0\uff0c\u800c\u4e14\u9019\u4e9b\u7cbe\u795e\u75c7\u72c0\u548c\u75be\u75c5\u8207\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u662f\u4e00\u7a2e\u96d9\u5411\u95dc\u4fc2\uff0c\u5f7c\u6b64\u6703\u4e92\u76f8\u589e\u52a0\u5176\u98a8\u96aa\u3002\u53e6\u5916\uff0c\u6025\u6027\u6216\u6162\u6027\u58d3\u529b\u6703\u640d\u5bb3\u8178\u9053\u529f\u80fd\u4e26\u56e0\u6b64\u53ef\u4ee5\u5f15\u81f4\u8178\u9053\u75c7\u72c0\u3002\u66f4\u751a\u7684\u662f\uff0c\u5728\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u4e2d<strong>\uff0c<\/strong>\u8ca0\u8cac\u7de9\u885d\u58d3\u529b\u5c0e\u81f4\u5404\u7a2e\u751f\u7406\u53cd\u61c9\u7684\u4e0b\u4e18\u8166-\u5782\u9ad4-\u814e\u4e0a\u817a\u8ef8\uff08HPA axis\uff09\u6709\u8f03\u9ad8\u6a5f\u7387\u51fa\u73fe\u5931\u8abf\u73fe\u8c61\uff0c\u9019\u5c0e\u81f4\u60a3\u8005\u7684\u8178\u9053\u66f4\u5bb9\u6613\u53d7\u5230\u58d3\u529b\u5f71\u97ff\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0<\/p>\n<p><em>\u75c7\u72c0<\/em><\/p>\n<p>\u8179\u90e8\u75bc\u75db\u6216\u75d9\u6523<br \/>\n\u8179\u8139<br \/>\n\u8179\u7009\uff1a\u7cde\u4fbf\u6216\u6703\u5448\u6c34\u72c0\uff0c\u6709\u6a5f\u6703\u7a81\u7136\u6392\u4fbf<br \/>\n\u4fbf\u79d8\uff1a\u6392\u4fbf\u6642\u611f\u5230\u8cbb\u529b\uff0c\u611f\u89ba\u7121\u6cd5\u5b8c\u5168\u6392\u51fa\u7cde\u4fbf<br \/>\n\u6392\u4fbf\u7fd2\u6163\u6539\u8b8a\uff1a\u53ef\u4ee5\u662f\u4fbf\u79d8\u6216\u8179\u7009<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u75c7\u72c0\u5206\u8fa8<\/em><\/p>\n<p>\u5927\u8178\u764c\uff1a\u65e9\u671f\u5927\u8178\u764c\u7684\u75c7\u72c0\u8f03\u4e0d\u660e\u986f\uff0c\u751a\u81f3\u53ef\u80fd\u8207\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u76f8\u4f3c\u3002\u82e5\u60a3\u8005\u51fa\u73fe\u9ed1\u8272\u7a00\u721b\u5927\u4fbf\u3001\u5927\u4fbf\u5e36\u8840\u3001\u4e0d\u660e\u539f\u56e0\u7684\u9ad4\u91cd\u7a81\u7136\u4e0b\u964d\u548c\u4e0d\u660e\u539f\u56e0\u7684\u8179\u75db\u7b49\u75c7\u72c0\uff0c\u6216\u6709\u5bb6\u65cf\u6027\u8178\u764c\u75c5\u53f2\uff0c\u61c9\u53ca\u65e9\u9032\u884c\u5927\u8178\u5167\u8996\u93e1\u6aa2\u67e5\u3002<br \/>\n\u8178\u80c3\u708e\uff1a\u82e5\u767c\u73fe\u8178\u80c3\u708e\u76f8\u95dc\u75c7\u72c0\uff0c\u4f8b\u5982\u4f4e\u71d2\u53ca\u8179\u7009\uff0c\u8acb\u7acb\u5373\u6c42\u91ab\uff0c\u4ee5\u53ca\u6642\u7372\u8655\u65b9\u9069\u5207\u7684\u6cbb\u7642\u3002<br \/>\n\u75d4\u7621\uff1a\u75d4\u7621\u7684\u75c7\u72c0\u5305\u62ec\u5927\u4fbf\u5e36\u8840\u53ca\u6392\u4fbf\u6642\u809b\u9580\u611f\u5230\u75db\u695a\uff0c\u5927\u4fbf\u4e0a\u6709\u53ef\u80fd\u5e36\u6709\u9bae\u8840\uff0c\u5b9c\u5118\u65e9\u6c42\u91ab\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\u8207\u5176\u4ed6\u75c5\u75c7\u76f8\u4f3c\uff0c\u5e02\u6c11\u5982\u6709\u4efb\u4f55\u76f8\u95dc\u75c7\u72c0\uff0c\u61c9\u5c0b\u6c42\u91ab\u8b77\u4eba\u54e1\u610f\u898b\uff0c\u5fcc\u81ea\u6211\u8a3a\u65b7\u548c\u81ea\u884c\u8655\u7406\uff0c\u4ee5\u514d\u5ef6\u8aa4\u9069\u7576\u6cbb\u7642\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u975e\u85e5\u7269\u6cbb\u7642<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>\u751f\u6d3b\u7fd2\u6163\u8abf\u6574<\/em><\/strong><\/p>\n<p>\u9ad4\u529b\u6d3b\u52d5<\/p>\n<p>&nbsp;<\/p>\n<p>\u7814\u7a76\u986f\u793a\uff0c\u6bcf\u9031\u9032\u884c\u4e09\u81f3\u4e94\u5929 20 \u81f3 60 \u5206\u9418\u4e2d\u7b49\u5f37\u5ea6\u6d3b\u52d5\u7684\u4eba\uff0c\u76f8\u6bd4\u6c92\u6709\u904b\u52d5\u7fd2\u6163\u7684\u4eba\uff0c\u5728\u5341\u4e8c\u9031\u5f8c\u6709\u8f03\u5927\u6a5f\u6703\u6539\u5584\u6574\u9ad4\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff0c\u75c7\u72c0\u7684\u60e1\u5316\u7387\u4e5f\u8f03\u6c92\u6709\u9ad4\u529b\u6d3b\u52d5\u7684\u4eba\u4f4e\u3002\u4e2d\u7b49\u5f37\u5ea6\u904b\u52d5\u6307\u5728\u9032\u884c\u904b\u52d5\u6642\uff0c\u547c\u5438\u8207\u5fc3\u8df3\u7565\u5fae\u52a0\u5feb\u4e26\u51fa\u73fe\u8f15\u5fae\u6d41\u6c57\uff0c\u4ecd\u80fd\u8aaa\u8a71\u4f46\u4e0d\u80fd\u5531\u6b4c\uff0c\u4f8b\u5982\u6025\u6b65\u884c\u3001\u9a0e\u55ae\u8eca\u3001\u4e52\u4e53\u7403\u3001\u6e38\u6cf3\u7b49\u3002\u60a3\u8005\u5011\u53ef\u4ee5\u5617\u8a66\u628a\u904b\u52d5\u878d\u5165\u65e5\u5e38\u751f\u6d3b\uff0c\u5982\u505a\u5bb6\u52d9\u3001\u9032\u9910\u5f8c\u5916\u51fa\u6563\u6b65\u3001\u4e0d\u4e58\u642d\u5347\u964d\u6a5f\u5118\u91cf\u884c\u6a13\u68af\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u7761\u7720\u885b\u751f<\/p>\n<p>&nbsp;<\/p>\n<p>\u6307\u6539\u5584\u7761\u7720\u8cea\u7d20\u7684\u7fd2\u6163\u53ca\u74b0\u5883\u7684\u884c\u70ba\uff0c\u5982\u4f5c\u606f\u5b9a\u6642\u3001\u7dad\u6301\u8212\u9069\u3001\u5b89\u975c\u3001\u9ed1\u6697\u7684\u7761\u7720\u74b0\u5883\u3001\u907f\u514d\u5348\u7761\u3001\u907f\u514d\u5348\u5f8c\u98f2\u7528\u8336\u6216\u5496\u5561\u3001\u7761\u524d\u4e00\u5c0f\u6642\u907f\u514d\u770b\u96fb\u5b50\u5c4f\u5e55\u3001\u7761\u5e8a\u53ea\u7528\u4f5c\u7761\u89ba\u800c\u975e\u5176\u4ed6\u884c\u70ba\uff08\u5982\u770b\u624b\u6a5f\uff09\u7b49\u7b49\u3002\u82e5\u5931\u7720\u6301\u7e8c\uff0c\u53ef\u8003\u616e\u4f7f\u7528\u892a\u9ed1\u6fc0\u7d20\uff08Melatonin\uff09\uff0c\u6709\u6a5f\u6703\u6539\u5584\u5931\u7720\u4e4b\u9918\u4ea6\u53ef\u6539\u5584\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff08\u53ef\u53c3\u770b\u6587\u7ae0\u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/%e5%8a%a9%e7%9c%a0%e4%bf%9d%e5%81%a5%e5%93%81\/\">\u52a9\u7720\u4fdd\u5065\u54c1<\/a>\u300d\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u5fc3\u7406\u6cbb\u7642\u548c\u6e1b\u58d3<\/p>\n<p>&nbsp;<\/p>\n<p>\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\uff08Cognitive behavioral therapy\uff0cCBT\uff09\u662f\u4e00\u7a2e\u4ee5\u76ee\u6a19\u70ba\u5c0e\u5411\u7684\u89e3\u6c7a\u554f\u984c\u578b\u5fc3\u7406\u6cbb\u7642\uff0c\u65e8\u5728\u6e1b\u5c11\u4e0d\u826f\u4fe1\u5ff5\u53ca\u8207\u58d3\u529b\u76f8\u95dc\u7684\u884c\u70ba\uff0c\u53ef\u4ee5\u6709\u6548\u6e1b\u5c11\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u7684\u75bc\u75db\u3001\u58d3\u529b\u3001\u6182\u9b31\u548c\u7126\u616e\u3002<br \/>\n\u8178\u9053\u5c0e\u5411\u50ac\u7720\u6cbb\u7642\uff08Gut-Directed Hypnotherapy\uff0cGDH\uff09\u5229\u7528\u6cbb\u7642\u5e2b\u6307\u5c0e\u7684\u6697\u793a\u4f86\u4fc3\u9032\u6d88\u5316\u9053\u653e\u9b06\uff0c\u4e26\u5c07\u4e0d\u5fc5\u8981\u7684\u6ce8\u610f\u529b\u5f9e\u8eab\u9ad4\u7684\u4e0d\u9069\u4e2d\u8f49\u79fb\u8d70\u3002<\/p>\n<p>\u6b63\u5ff5\u6e1b\u58d3\u7642\u6cd5\uff08Mindfulness-based stress reduction\uff0cMBSR\uff09\u662f\u4e00\u7a2e\u4ee4\u60a3\u8005\u8eab\u5fc3\u653e\u9b06\u7684\u7642\u6cd5\uff0c\u65e8\u5728\u589e\u5f37\u60a3\u8005\u653e\u9b06\u3001\u61c9\u5c0d\u58d3\u529b\u548c\u7ba1\u7406\u75bc\u75db\u7684\u80fd\u529b\uff0c\u76ee\u524d\u5df2\u88ab\u61c9\u7528\u65bc\u591a\u7a2e\u7cbe\u795e\u75be\u75c5\u548c\u6162\u6027\u75db\u75c7\u7684\u6cbb\u7642\u4e2d\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>\u98f2\u98df\u7fd2\u6163\u8abf\u6574<\/em><\/strong><\/p>\n<p>\u50b3\u7d71\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u98f2\u98df\u5efa\u8b70<\/p>\n<p>&nbsp;<\/p>\n<p>\u4e09\u9910\u5b9a\u6642\u3001\u5c11\u98df\u591a\u9910<br \/>\n\u907f\u514d\u9032\u98df\u5bb9\u6613\u7522\u751f\u80c3\u6c23\u7684\u98df\u7269\uff08\u5982\u8c46\u985e\uff09<br \/>\n\u907f\u514d\u9032\u98df\u9ad8\u6cb9\u81a9\u548c\u8f9b\u8fa3\u98df\u7269<br \/>\n\u907f\u514d\u9032\u98df\u542b\u4e73\u7cd6\u7684\u98df\u7269<br \/>\n\u907f\u514d\u9032\u98df\u975e\u6c34\u6eb6\u6027\u7e96\u7dad<br \/>\n\u9069\u91cf\u9032\u98df\u6c34\u6eb6\u6027\u7e96\u7dad<br \/>\n\u591a\u98f2\u6c34\uff0c\u6e1b\u5c11\u651d\u53d6\u9152\u7cbe\u3001\u5496\u5561\u56e0\u548c\u78b3\u9178\u98f2\u6599<\/p>\n<p>&nbsp;<\/p>\n<p>\u4f4e\u654f\u8179\u98f2\u98df\u5efa\u8b70\uff08Low-FODMAP diet\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>FODMAP\u662f\u300c\u767c\u9175\u5be1\u7cd6\u3001\u4e8c\u7cd6\u3001\u55ae\u7cd6\u548c\u591a\u5143\u9187\u300d\uff08Fermentable Oligo-, Di-, and Monosaccharides And Polyols\uff09\u7684\u9996\u5b57\u6bcd\u7e2e\u5beb\uff0c\u662f\u5728\u5c0f\u8178\u4e2d\u96e3\u4ee5\u5438\u6536\u7684\u77ed\u93c8\u78b3\u6c34\u5316\u5408\u7269\uff0c\u7559\u5728\u8178\u9053\u6703\u767c\u9175\u6216\u4ee4\u904e\u591a\u6c34\u5206\u9032\u5165\u8178\u9053\uff0c\u5c0e\u81f4\u8178\u6c23\u3001\u8179\u7009\u3001\u4fbf\u79d8\u3001\u8178\u75d9\u6523\u548c\u75bc\u75db\u7b49\u75c7\u72c0\u3002\u4f4eFODMAP\u98f2\u98df\u4e0d\u4e00\u5b9a\u9069\u5408\u6240\u6709\u4eba\uff0c\u53ea\u9069\u5408\u56e0FODMAP\u5c0e\u81f4\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\u7684\u60a3\u8005\uff0c\u800c\u60a3\u8005\u53ef\u80fd\u53ea\u53d7\u90e8\u4efd\u98df\u7269\u5f71\u97ff\uff0c\u4e26\u4e0d\u4e00\u5b9a\u8981\u5b8c\u5168\u907f\u514d\u9032\u98dfFODMAP\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4f4eFODMAP\u98f2\u98df\u4e09\u6b65\u66f2\uff1a<\/p>\n<p>\u7b2c\u4e00\u6b65\uff1a\u53ea\u5403\u4f4e\u8179\u654f\u98df\u7269\uff0c\u907f\u514d\u9032\u98df\u9ad8\u8179\u654f\u98df\u72696\u81f38\u9031\uff0c\u540c\u6642\u5bc6\u5207\u76e3\u6e2c\u75c7\u72c0\uff08\u5982\u5927\u4fbf\u60c5\u6cc1\uff09\u3002\u5982\u679c\u75c7\u72c0\u6709\u6539\u5584\uff0c\u5247\u9032\u5165\u7b2c\u4e8c\u6b65\uff1b\u5982\u679c\u75c7\u72c0\u672a\u898b\u6539\u5584\uff0c\u5247\u75c7\u72c0\u53ef\u80fd\u8207\u9ad8\u8179\u654f\u98df\u7269\u7121\u95dc\uff0c\u5728\u9019\u7a2e\u60c5\u6cc1\u4e0b\uff0c\u61c9\u9032\u884c\u5176\u4ed6\u98f2\u98df\u8abf\u6574\u548c\u6cbb\u7642\u3002<br \/>\n\u7b2c\u4e8c\u6b65\uff1a\u9010\u6b65\u91cd\u65b0\u5617\u8a66\u9032\u98df\u9ad8FODMAP\u98df\u7269\uff0c\u4ee5\u78ba\u5b9a\u5c0d\u5177\u9ad4\u6bcf\u4e00\u7a2e\u767c\u9175\u78b3\u6c34\u5316\u5408\u7269\u7684\u8010\u53d7\u6027\u3002\u6bcf\u6b21\u91cd\u65b0\u5617\u8a66\u9032\u98df\u4e00\u7a2e\u9ad8FODMAP\u98df\u7269\uff0c\u4e26\u5728\u5617\u8a66\u9032\u98df\u65b0\u98df\u7269\u4e4b\u9593\u4fdd\u6301\u6578\u5929\u7684\u9593\u9694\u3002\u540c\u6642\u8a18\u9304\u6bcf\u5929\u7684\u98f2\u98df\uff0c\u4e26\u6301\u7e8c\u76e3\u6e2c\u548c\u8a18\u9304\u75c7\u72c0\u3002<br \/>\n\u7b2c\u4e09\u6b65\uff1a\u6839\u64da\u75c7\u72c0\u8a18\u9304\u3001\u98f2\u98df\u8a18\u9304\u548c\u71df\u990a\u5e2b\u7684\u6307\u5c0e\uff0c\u5c0d\u65e5\u5e38\u7684\u98f2\u98df\u9032\u884c\u500b\u4eba\u5316\u7684\u8abf\u6574\uff0c\u907f\u514d\u9032\u98df\u5bb9\u6613\u5f15\u8d77\u75c7\u72c0\u7684\u98df\u7269\uff1b\u53ef\u9069\u7528\u65bc\u9577\u671f\u4f7f\u7528\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u9ad8\/\u4f4eFODMAP\u98df\u7269\u5206\u985e\u8868\uff1a<\/p>\n<\/p>\n<p>\u7e3d\u7d50<\/p>\n<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6210\u56e0\u4e3b\u8981\u70ba\u8178\u8166\u4e92\u52d5\u969c\u7919\u548c\u5fc3\u7406\u56e0\u7d20<br \/>\n\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\u70ba\u8179\u75db\u3001\u8179\u8139\u3001\u8179\u7009\u53ca\/\u6216\u4fbf\u79d8\u7b49\u7b49<br \/>\n\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u662f\u4e00\u7a2e\u7121\u6cd5\u6839\u6cbb\u7684\u75be\u75c5\uff0c\u4f46\u53ef\u4ee5\u900f\u904e\u975e\u85e5\u7269\u53ca\u85e5\u7269\u6cbb\u7642\u6539\u5584\u75c7\u72c0<br \/>\n\u975e\u85e5\u7269\u6cbb\u7642\u7684\u91cd\u5fc3\u662f\u8981\u6539\u5584\u751f\u6d3b\u7fd2\u6163\uff0c\u5305\u62ec\u9ad4\u529b\u6d3b\u52d5\u3001\u98f2\u98df\u7fd2\u6163\u3001\u7d13\u7de9\u58d3\u529b\u7b49\u7b49<\/p>\n<p>\uff08\u6709\u95dc\u7528\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u85e5\u7269\uff0c\u53ef\u700f\u89bd<a href=\"https:\/\/www.stdhc.org.hk\/express\/ibs-drug\/\">\u300c\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u8207\u85e5\u7269\u6cbb\u7642\u300d<\/a>\u4e00\u6587\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b1\u8b80\ufe30<\/p>\n<p>\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\u91ab\u9662\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u3002\u53d6\u81ea <a href=\"https:\/\/www.cuhkmc.hk\/tc\/health-corner\/functional-gastrointestinal-disorder\/irritable-bowel-syndrome-ibs\/irritable-bowel-syndrome-ibs\">https:\/\/www.cuhkmc.hk\/tc\/health-corner\/functional-gastrointestinal-disorder\/irritable-bowel-syndrome-ibs\/irritable-bowel-syndrome-ibs<\/a>\u3002<br \/>\nNational Health Service. Irritable Bowel Disease. 2025. Available at <a href=\"https:\/\/www.nhs.uk\/conditions\/irritable-bowel-syndrome-ibs\/symptoms\/\">https:\/\/www.nhs.uk\/conditions\/irritable-bowel-syndrome-ibs\/symptoms\/<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90\ufe30<\/p>\n<p>Kwan AC, et al. Prevalence of irritable bowel syndrome in Hong Kong. <em>J Gastroenterol Hepatol. <\/em>2002;17(11):1180-1186.<br \/>\nNam SY, et al. [&#8230;]<\/p>\n","protected":false},"author":3341,"featured_media":10382,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[38,1],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/10376"}],"collection":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/users\/3341"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/comments?post=10376"}],"version-history":[{"count":6,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/10376\/revisions"}],"predecessor-version":[{"id":10403,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/10376\/revisions\/10403"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media\/10382"}],"wp:attachment":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media?parent=10376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/categories?post=10376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/tags?post=10376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}