小児患者の機能性便秘:ブラジル南部の観察研究
Anita Dos Santos Cardoso1, Laura Bittencourt de Oliveira1, Mayra Sonego2
1Medical Student, Department of Health Sciences, Universidade do Extremo Sul Catarinense (Unesc), Criciúma (SC), Brazil.
Sao Paulo medical journal = Revista paulista de medicina
|September 3, 2025
まとめ
子供の機能性便秘は,痛みと硬い便によって特徴付けられ,マクロゴールの治療でよく改善されます. 継続的なモニタリングは 生活の質に影響を与えるこの状態の管理の鍵です
科学分野:
- 小児胃腸内科
- 臨床流行病学
- 子ども の 健康 に 関する 結果
背景:
- 機能性便秘 (FC) は,硬直した便,腹部不快感, incontinenceなどの症状を呈し,子供の生活の質と心理的福祉に影響します.
- FCは小児胃腸内科での一般的な状態であり,そのさまざまな側面を徹底的に理解する必要があります.
研究 の 目的:
- 小児患者の機能性便秘の疫学的,臨床的,治療的特徴を調査する.
- 治療結果を分析し,専門の診療所で患者の管理に影響を与える重要な要因を特定する.
主な方法:
- 小児胃腸病患者の医療記録からの二次データを利用した記述的,定量的な観察研究 (2018-2023年).
- 機能性便秘 (ICD K590) と診断された67人の小児における社会統計学的,臨床的,治療的変数の評価.
- データ分析は,人間研究倫理委員会 (Unesc) の承認を受けて,SPSS v.25.0を用いた記述的統計を用いた.
主要な成果:
- 研究対象は主に女性 (53. 7%) で,診断時の平均年齢は7. 75歳.
- 主な症状は腹痛 (77. 6%) と硬直した便 (62. 7%) で,排便の間の平均4日間の間隔があった.
- マクロゴールは主要な治療法であり (89. 6%) 73. 1% の患者で完全な症状の改善をもたらした.
結論:
- 子供における機能性便秘は,個別的な治療を必要とする多様な臨床表現を示します.
- 効果的な治療,特にマクロゴールは症状を大幅に改善しますが,継続的なモニタリングは不可欠です.
- 流行病学的および臨床的なパターンの理解は,小児機能性便秘の標的介入の開発に役立ちます.
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