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用于评估和管理患有不明原因慢性气消化系统症状的患者的实用多学科框架
Nathan Quigley1, Sandeep G Mistry2, Dipesh H Vasant3,4
1Otolaryngology Department, Royal Brisbane and Woman's Hospital Health Service District, Herston, Queensland, Australia nathanquigley89@gmail.com.
BMJ open gastroenterology
|November 23, 2023
概括
无法解释的慢性喉症状 (UCTS) 通常缺乏明确的原因. 需要采用统一的跨学科方法,超越单一专业评估,以获得更好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肠-大脑相互作用的障碍
背景情况:
- 患有无法解释的慢性喉症状 (UCTS) 的患者经常被转诊给多位专家.
- 广泛的调查往往无法识别导致UCTS的结构异常.
- 目前的单一专业方法不足以解决UCTS的复杂性.
研究的目的:
- 评估当前UCTS评估和管理的证据.
- 评估UCTS的临床结果和医疗保健利用情况.
- 为UCTS提出一个更新的跨学科方法.
主要方法:
- 在UCTS中对病因学理论和病理生理学驱动因素的多学科审查.
- 对诊断和管理策略的证据基础进行批判性检查.
- 综合来自胃肠道文学关于肠-大脑相互作用障碍的见解.
主要成果:
- 单一专业的方法无法捕捉UCTS临床特征和生物心理社会因素的异质性和重叠.
- 为了有效的UCTS管理,需要采用更统一的方法.
- 目前的证据表明,孤立的诊断和治疗途径存在局限性.
结论:
- 为UCTS提出了一种更新的跨学科方法.
- 这种方法结合了积极的诊断框架和以患者为中心的治疗模式.
- 其目的是提高患者的治疗成果,并刺激UCTS的合作研究.
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