在住院患者中控制便秘的管理
Gregory S Sayuk1, Qi T Yu2, Corey Shy3
1Division of Gastroenterology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Journal of clinical medicine
|October 14, 2023
概括
便秘,特别是阿片类药物引起的便秘,在医院很常见,需要及时识别和管理. 本综述详细介绍了住院便秘的评估和治疗策略,重点关注阿片类药物对肠道运动性的影响.
科学领域:
- 胃肠病学 胃肠病学
- 医院 医院 医疗 医疗 医疗 医疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 便秘是医院环境中普遍存在的问题,经常被忽视和治疗不当.
- 阿片类药物诱导的便秘 (OIC) 是住院患者便秘的重要原因之一.
- 阿片类药物通过对肠道μ-阿片类受体的激动作用引起便秘,影响肠道运动.
研究的目的:
- 提供关于在住院环境中识别和管理便秘的见解.
- 专门解决与阿片类药物引起的便秘相关的挑战和策略.
主要方法:
- 在入院后进行常规便秘评估.
- 使用症状评估,病史 (包括药物使用) 和体检.
- 使用患者评估工具来衡量便秘的影响.
主要成果:
- 有效的管理包括确保水分,电解质平衡和患者动员等初步步骤.
- 治疗方案包括药,阴道,肠道分泌剂,外围作用的μ-阿片类受体对抗剂和手动破坏.
- 外科手术作为重度,耐火性便秘病例的救援疗法.
结论:
- 对于住院患者来说,对便秘的早期和彻底评估至关重要.
- 包括生活方式修改和药物治疗在内的多方面的方法对于管理OIC至关重要.
- 及时干预可以防止与未经治疗的便秘相关的严重并发症.
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