儿童结直肠问题的最新肠道管理:脊柱异常
Elizaveta Bokova1, Ninad Prasade1, John M Rosen2,3
1Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Hospital, Kansas City, MO 64108, USA.
Children (Basel, Switzerland)
|September 28, 2023
概括
脊柱异常常常导致失禁. 有效的肠道管理需要彻底评估和量身定制的治疗计划,包括灌或手术,以改善受影响患者的抑郁潜力.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 神经泌尿病学 - 神经泌尿病学
- 脊髓医学 脊髓医学
背景情况:
- 脊柱异常经常导致严重的便和尿失禁,影响到87%和92%的患者,分别.
- 有效的管理需要一种协作式的,多学科的肠道护理方法.
研究的目的:
- 对脊柱异常患者的当前肠道管理策略进行审查.
- 提出最先进的方法,以优化该群体的肠道失禁.
主要方法:
- 在主要数据库 (Medline/PubMed,Google Scholar,Cochrane,EMBASE) 进行了全面的文献搜索.
- 搜索的重点是2013年7月至2023年7月期间发表的研究,研究脊柱异常患者的肠道管理.
主要成果:
- 在脊柱异常患者中,直肠和门通道内化损伤降低了传统药和阴道的有效性.
- 过门灌和前冲洗是常见的干预措施;成功取决于损伤水平,年龄和类型.
- 管理选项包括药,阴道,灌,冲洗和口腔创建,在22-71%的病例中实现了社会克制.
结论:
- 在治疗前评估体潜力和便负担对于脊柱异常患者至关重要.
- 最佳的肠道管理是根据患者的年龄,解剖学和运动能力来个性化.
- 对于患者和护理人员来说,讨论独立肠道治疗方案的可行性是必不可少的.
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