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综合医院的躯体化症状诊治专家共识

Expert consensus on the diagnosis and treatment of somatization symptoms in general hospitals

摘要综合医院的躯体化症状患者十分常见。患者对疾病过度关注而反复就诊易形成躯体化症状,持续性心理痛苦或功能受损易造成患者出现躯体症状障碍,常合并焦虑、抑郁等情绪障碍。躯体化症状的发病机制与生物、心理、社会因素密切相关,临床诊断需要综合考虑病史、临床表现、体格检查、实验室检查、神经心理评估与相关共病等要素。诊疗过程中,医生应重视病史及症状评估,结合药物和非药物治疗手段,以提高诊疗效果。为规范躯体化症状诊治,专家基于研究证据与专家经验,制订其诊治共识,以促进其规范诊断,提高诊疗水平。

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abstractsSomatic symptom patients are very common in general hospitals. Patients′ excessive concern about their diseases and repeated medical visits can easily lead to somatic symptoms. Persistent psychological distress or functional impairment can easily cause patients to develop somatic symptom disorders, which are often accompanied by emotional disorders such as anxiety and depression. The pathogenesis of somatic symptoms is closely related to biological, psychological, and social factors. The clinical diagnosis needs to take into account a comprehensive range of factors including medical history, clinical manifestations, physical examination, laboratory tests, neuropsychological assessments, and related comorbidities. During the diagnosis and treatment process, doctors should pay attention to the medical history and symptom assessment, and combine pharmacological and non-pharmacological treatment methods to improve the effectiveness of diagnosis and treatment. In order to standardize the diagnosis and treatment of somatic symptoms, experts have formulated a consensus on diagnosis and treatment based on research evidence and expert experience, to promote standardized diagnosis and improve the level of diagnosis and treatment.

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中华神经科杂志

中华神经科杂志

2025年58卷5期

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