irritable bowel disease with depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Aged 18 to 65 years; 2.There is no abnormality in blood routine, blood biochemistry and routine examination of stool; 3.The patient informed consent to the study; 4.Recurrent abdominal pain that meets the diagnostic criteria of IBS-D Rome IV, which occurred at least 1 day a week in the past 3 months, and was accompanied by two or more of the following: episodes related to defecation accompanied by changes in frequency of defecation accompanied by changes in fecal properties; 5.Meet the diagnostic criteria of depression according to Hamilton Depression (HAMD) score,>=8 points.
Exclusion criteria
Exclusion criteria: 1.Suffering from the excessive proliferation of small intestinal bacteria (screening by hydrogen-methane breath test) and organic diseases such as gastrointestinal tumors; 2.Combined with serious heart, liver, lung, kidney, blood, endocrine, and nervous system diseases and Autoimmune diseases; 3.Severe depressive state: Hamilton HAMD score>35 points; 4.Multiple peripheral vascular diseases; 5.Infection of respiratory tract, digestive tract, urinary tract and other parts; 6.A history of abdominal surgery other than appendicitis; 7.Suffer from other gastrointestinal diseases that can explain clinical symptoms; 8.Antibiotics and systemic hormones have been used in the past month; 9.Consecutive use of intestinal microecological preparations, laxatives, and antidiarrheal drugs for more than 3 days in the past 2 weeks; 10.Pregnant and lactating women; 11.Patients with severe mental disorders, such as schizophrenia, manic depression, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptoms improved in patients with irritable bowel syndrome;Overall gastrointestinal symptoms improved;Depressive symptoms improved; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visceral sensitivity;Changes in fecal flora;Microbial metabolites;Peripheral inflammatory factors and neurotransmitters;Metabolic changes; | — |
Countries
China
Contacts
Peking University Third Hospital