medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2015-7-72-77medsovet-216Research ArticleДИССЕРТАНТDISSERTANTСравнительная характеристика ассоциированных симптомов у больных синдромом раздраженного кишечника разного возрастаComparative characteristics of associated manifestations in patients with irritable bowel syndrome of different agesМнацаканянМ. Г.MnatsakanyanM. G.noemail@neicon.ruТащянО. В.TaschyanO. V.noemail@neicon.ruПогромовА. П.PogromovA. P.noemail@neicon.ruДюковаГ. М.DyukovaG. M.noemail@neicon.ruПервый Московский государственный медицинский университет им. И.М. Сеченова Минздрава РоссииРоссияFirst Moscow State Medical University named after I.M. SechenovRussian Federation201530122015077277Copyright © Мнацаканян М.Г., Тащян О.В., Погромов А.П., Дюкова Г.М., 20152015Мнацаканян М.Г., Тащян О.В., Погромов А.П., Дюкова Г.М.Mnatsakanyan M.G., Taschyan O.V., Pogromov A.P., Dyukova G.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/216

В клинической картине СРК, помимо желудочно-кишечных симптомов, значительное место занимают внекишечные ассоциированные симптомы (ВАС). Проведено исследование частоты и клинического спектра ВАС с помощью анкеты соматизированных расстройств (SOMS_2) у больных СРК молодого и старшего возраста в зависимости от пола пациентов и типа СРК. Анализ был проведен в 2 группах больных СРК: до 45 лет (125 бол.) и после 45 лет (120 бол.), всего 245 больных. Анализ ВАС показал, что более половины больных обеих групп испытывали «чрезмерную утомляемость» и ощущение «головокружения или неустойчивости». От 40 до 50% пациентов предъявляли полисистемные вегетативные расстройства: «ощущение тошноты», «сердцебиение», «потливость», «приливы холода и тепла» и пр. В обеих группах отмечена большая частота болевых синдромов различной локализации. У женщин частота ВАС существенно выше, чем у мужчин. С возрастом у женщин частота отдельных ВАС существенно меняется, чего не наблюдается у мужчин.

The clinical picture of IBS, in addition to gastrointestinal symptoms, is dominated by extraintestinal manifestations (EIM). The study evaluated the incidence and clinical spectrum of EIM using screening for somatoform disorders (SOMS_2) in young and old IBS patients depending on gender and type of IBS. IBS patients for study were divided into 2 groups: younger than 45 years (125 subjects) and older than 45 years (120 subjects), the total number equalling 245 patients. The IM study showed that more than half of patients in both groups experienced "excessive fatigue" and a feeling of "vertigo or instability." 40 to 50% of patients demonstrated polysystemic vegetative dysfunction: "feeling of nausea", "heartbeat", "sweat", "flashes of heat and cold," and so forth. Both groups showed high frequency of pain in different locations. Women suffered from EIM much more often than men. The frequency of separate EIM changed significantly in women with age, which was not observed in men.

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The authors declare that there are no conflicts of interest present.