相关实验视频
Updated: Jun 24, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.4K
患有炎症性肠道疾病的患者的产科结果
Ambre Tondreau1, Coraline Breuval1, Jean Gondry1,2
1Centre de Gynécologie-Obstétrique, CHU Amiens Picardie, Amiens University Medical Center, 1 rue du Professeur Christian Cabrol Cedex 1, 80054, Amiens, France.
Archives of gynecology and obstetrics
|June 4, 2024
概括
怀孕期间活跃的炎症性肠病 (IBD) 显著增加了母亲和婴儿的风险. 在怀孕前和怀孕期间有效的IBD管理对于更好的产科和胃肠道学结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 生殖健康 生殖健康
背景情况:
- 炎症性肠道疾病 (IBD) 通常在女性的生殖年龄 (20-40岁) 中被诊断出来.
- IBD对怀孕结果的影响对受影响的妇女及其医疗保健提供者来说是一个重大的临床问题.
研究的目的:
- 调查怀孕期间活性IBD与产科预后之间的关系.
- 为了比较活跃与非活跃IBD妇女的怀孕结果.
主要方法:
- 一项回顾性研究分析了来自100名IBD患者 (81名克罗恩病患者,19名性结肠炎患者) 的胃肠道和产科数据.
- 从2007年至2021年间在阿米恩大学医院跟踪的患者收集了数据.
- 在怀孕期间活跃和不活跃IBD的患者之间比较了产科结局.
主要成果:
- 怀孕期间活跃的IBD与更高的住院率相关 (66.6%对5.2%).
- 在活跃的IBD病例中,早产 (平均36.77周对38.7周) 和非常早产 (32周前) 较为频繁.
- 活跃疾病导致更短的怀孕期 (38.4周对39.8周),较低的出生体重 (2707g对3129g),并增加了剖腹产率 (54.2%对16.9%).
结论:
- 患有IBD的妇女面临妊娠并发症的风险增加,特别是当疾病活跃时.
- 在受孕时控制IBD活动和保持密切的怀孕监测至关重要.
- 通过积极的疾病管理,可以获得改善的胃肠道和产科结果.
相关概念视频
01:30Inflammatory Bowel Disease II: Crohn's Disease
216
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
216
01:21Inflammatory Bowel Disease V: Surgical Management
139
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
139
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
162
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
162
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
01:29Inflammatory Bowel Disease IV: Pharmacological Management
126
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
126
01:17Chronic Bowel Disorders: Introduction
440
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
440