儿科内肠接收的复发:在台湾进行的一项全国性基于人口的描述性研究
Chao-Yang Chang1, Yu-Ying Chen1, Chih-Hsuan Lin1
1Department of Traditional Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Medicine
|September 1, 2023
概括
在年长的儿童和手术后,复发性静脉注射的风险较低. 男性婴儿面临更高的风险,需要密切跟踪最初接受非手术治疗的婴儿.
科学领域:
- 儿科急救医学 儿科急救医学
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 肠接是一个常见的儿科紧急情况.
- 在初始治疗后,经常发生反复的静脉静脉接收.
- 确定复发的风险因素对于患者管理至关重要.
研究的目的:
- 调查年龄在3岁以下的儿童中复发性肠接的危险因素.
- 分析年龄,性别,出生体重,妊娠年龄和初始治疗与内肠置复发之间的关联.
- 为了告知临床实践关于预防和治疗复发性肠分泌的信息.
主要方法:
- 使用台湾医疗保健数据库 (2007年1月至2015年12月) 进行了一项队列研究.
- 包括5341名年龄小于3岁的儿童,被诊断患有内分泌.
- 用多变量逻辑回归分析来确定风险因素.
主要成果:
- 与1岁以下的婴儿相比,2-3岁儿童的复发风险较低 (aOR=0.62).
- 手术治疗显著降低了复发风险 (aOR=0.64).
- 男性患者表现出比女性更高的复发性内分泌的风险 (aOR=1.41).
结论:
- 手术干预和初始诊断时的年龄较大与静脉接复发的风险降低有关.
- 男性的性别是复发性内肠产的一个显著的风险因素.
- 建议对接受非手术治疗的婴儿进行密切监测,因为复发的可能性更高.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
103
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
103
Esophageal Strictures-I: Introduction
138
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
138
Renewal of Intestinal Stem Cells
2.6K
The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the...
2.6K


