炎症性肠病中的腹痛:基于证据的,多学科的审查
Matthew D Coates1,2, Kofi Clarke1, Emmanuelle Williams1
1Department of Medicine, Division of Gastroenterology & Hepatology, Penn State College of Medicine, Hershey, PA, USA.
Crohn's & colitis 360
|October 23, 2023
概括
腹痛是一种常见的炎症性肠病 (IBD) 症状. 本综述检查了当前的医疗,手术和其他止痛药的选择,以管理IBD相关的腹痛.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 炎症性肠病 (IBD) 研究研究
背景情况:
- 腹部疼痛显著影响患有炎症性肠病 (IBD) 的患者,包括克罗恩病和性结肠炎.
- 尽管进行了广泛的研究,但IBD相关的腹痛的病理生理学和基于证据的治疗方法仍然不完全理解.
- 在综合性审查中存在一个差距,这些综合性审查包括IBD疼痛的药理学和非药理学管理策略.
研究的目的:
- 为管理IBD的腹痛提供当前治疗选择的全面审查.
- 批判性地评估支持各种医疗,手术和止痛治疗IBD相关腹痛的证据.
- 为了解决围绕克罗恩病和性结肠炎的腹痛病理生理学和治疗的困惑.
主要方法:
- 对有关IBD腹痛管理的现有医学文献进行系统审查.
- 药理干预的多学科团队评估.
- 评估手术和非药物 (其他止痛药) 治疗证据.
主要成果:
- 检查了IBD腹痛各种医疗治疗的证据.
- 对IBD疼痛管理的手术选择进行了审查.
- 评估了非药物和其他止痛方法在IBD疼痛中的有效性.
结论:
- 目前对IBD腹痛病理生理学的理解需要进一步阐明.
- 需要一个全面的,基于证据的方法,整合多种模式,以实现IBD的最佳疼痛管理.
- 需要进一步的研究来澄清治疗疗效,并指导IBD相关腹痛的临床实践.
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