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德尔菲方法分析和共识,在Kasai Portoenterostomy后,用于胆汁动脉管理的普遍特异性做法

Sravanthi Vutukuru¹, Shailesh Solanki², Ravi Prakash Kanojia²

¹Department of Pediatric Surgery, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India.

Journal of Indian Association of Pediatric Surgeons

|June 24, 2024

概括

在Kasai portoenterostomy (KPE) 后胆道形 (BA) 的术后管理缺乏标准的协议. 德尔菲的一项调查显示,有关毒品使用的专家达成共识,许多人愿意调整他们的做法.

科学领域:

儿科外科手术儿科外科手术
胃肠病学胃肠病学
新生儿护理新生儿护理

背景情况:

胆管缩 (BA) 是一种新生儿疾病,需要Kasai portoenterostomy (KPE).
后KPE管理涉及药物来改善胆汁流和预防并发症.
目前针对BA的术后方案在外科医生和机构之间有很大差异.

研究的目的:

调查专家意见,以了解目前的 BA 的术后管理.
根据Delphi调查结果评估专家愿意修改做法.

主要方法:

一个德尔菲过程,涉及两轮问卷调查.
从25名儿科外科专家收集关于BA管理的数据.
对调查答案的分析,以确定共识和实践变革的领域.

主要成果:

专家的做法在抗生素持续时间方面有所不同 (40%的患者使用6-12周,30%的患者使用>12周).
费诺巴比的使用很常见 (<3个月为~50%),UDCA也是如此 (持续时间不同).
类固醇使用率约为50%,而抗病毒药物用于CMVIgM阳性率约为60%.

结论:

德尔菲调查提供了当前BA术后管理的概述.
很大一部分专家表示愿意根据共识改变他们的做法.
需要进行多中心研究,以建立一个统一的BA术后护理协议.

关键词:

胆道缩症胆道缩症德尔菲的方法方法德尔菲方法.卡萨伊地区带有肠静脉瘤.甘西克洛维尔 (ganciclovir) 是一种药物.芬诺巴比托尼 (Phenobarbitone) 是一种可怕的药物.类固醇类固醇是什么乌尔索多氧胆酸是什么意思

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