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在怀疑患有儿科肠道伪阻塞的儿童中,门门测量结果
Gullik Gulliksson1, Niklas Nyström1, Johan Danielson1
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Neurogastroenterology and motility
|July 20, 2024
概括
在儿童中,儿科肠道伪阻塞 (PIPO) 诊断与更多异常的肠门测量 (ADM) 发现有关. 这些结果强调了在儿科运动障碍中需要标准化的ADM评估标准.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 胃肠道运动障碍 胃肠道运动障碍
- 诊断标准开发 发展诊断标准
背景情况:
- 2018年为儿科肠道伪阻塞 (PIPO) 确立了诊断标准.
- 在诊断神经肌肉性胃肠功能障碍方面,门门测量 (ADM) 是关键.
- 关于儿童的ADM存在有限的数据.
研究的目的:
- 追溯地将2018年PIPO标准应用于疑似运动障碍的儿童.
- 重新评估这些儿童的两门门测量模式.
- 将符合PIPO标准的儿童,不符合标准的儿童和健康的成年人之间的ADM发现进行比较.
主要方法:
- 对34名疑似患有胃肠运动障碍的儿童进行了回顾性分析.
- 2018年ESPGHAN/NASPGHAN PIPO标准和2018年ANMS-NASPGHAN指南的应用.
- 在PIPO,非PIPO和健康成年人对照组中对24小时8ADM发现的比较.
主要成果:
- 在34名儿童中,有12名儿童符合2018年PIPO标准.
- 患有PIPO诊断的儿童显示出明显更高程度的异常ADM模式 (2.33对1.23,p=0.02).
- 没有观察到主要的定量ADM差异,除了儿童的更高压力.
结论:
- 符合PIPO标准的儿童显示出明显更多的ADM异常发现.
- 这支持ADM在诊断PIPO中的实用性.
- 在儿科PIPO中评估ADM的标准化标准是必要的.
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