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儿科炎性肠病的疾病活动模式:丹麦全国性队列研究 (1996-2018)
Mads Damsgaard Wewer1,2, Sabine Jansson2,3, Mikkel Malham2,3
1Gastro Unit, Medical Division, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Journal of Crohn's & colitis
|August 21, 2023
概括
儿科炎症性肠病 (IBD) 在诊断时经常存在严重活动. 虽然随着时间的推移,疾病活性得到改善,但生物治疗没有改变缓解率,并且性结肠炎患者的结肠切除仍然很常见.
科学领域:
- 胃肠病学 胃肠病学
- 儿科胃肠病学 儿科胃肠病学
- 流行病学 流行病学
背景情况:
- 炎症性肠病 (IBD) 呈现出各种疾病活动模式.
- 了解儿科患者群体中的这些模式对于有效管理至关重要.
研究的目的:
- 在丹麦全国的儿科IBD队列中描述疾病活动模式.
- 评估随着时间的推移疾病的进展和治疗结果.
主要方法:
- 一个全国性的丹麦队列的儿科克罗恩病 (pCD) 和儿科性结肠炎 (pUC) 患者的回顾性分析,诊断在1996年至2018年之间.
- 诊断时根据药物,住院和手术评估的疾病活动.
- 长度随访以评估诊断后5年和10年的疾病活性.
主要成果:
- 在诊断时,严重的疾病活动是普遍存在的:87%的pCD和80%的pUC.
- 诊断后5年,70%的pCD和61%的pUC患者没有实现疾病活动;在10年后,这一比例分别上升到72%和64%.
- 尽管引入了生物治疗方法,但没有疾病活动的患者比例保持不变,pUC中的胆管切除率始终很高 (10年为16%).
结论:
- 儿科IBD经常被诊断为严重的疾病活动.
- 疾病活动通常会在5-10年内改善,但生物疗法没有改善缓解率.
- 结肠切除术仍然是儿科性结肠炎患者的重要结果.
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