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在患有活跃和静止性性结肠炎的患者中与腹部疼痛相关的因素:一个多队列研究
Tom van Gils1, Hans Törnblom1, Jóhann P Hreinsson1
1Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Alimentary pharmacology & therapeutics
|October 24, 2024
概括
腹部疼痛在性结肠炎 (UC) 患者中很常见,影响生活质量. 焦虑,活跃疾病和女性性别与这种疼痛有关,这表明一种整体的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 炎症性肠道疾病研究研究
- 临床医学 临床医学
背景情况:
- 在性结肠炎 (UC) 管理中,腹痛经常被低估.
- 了解疼痛患病率和相关因素对于有效的UC患者护理至关重要.
研究的目的:
- 为了确定腹痛在活跃和静止性性结肠炎 (UC) 的患病率.
- 在不同疾病状态中识别与UC患者腹部疼痛相关的因素.
主要方法:
- 分析了三个成人UC患者队列 (两个截面,一个纵向).
- 使用胃肠道症状评分表来评估疼痛.
- 员工验证了心理困扰,疲劳和生活质量 (QoL) 的问卷.
主要成果:
- 58-63%的活跃UC患者报告腹痛,而静止UC患者的33-54%报告腹痛.
- 在纵向队列中,疼痛从诊断 (71%) 到缓解 (46%) 显著减少.
- 焦虑症状,活跃疾病和女性性别与增加的腹痛有关;较低的QoL与较高的疼痛水平相关.
结论:
- 腹部疼痛在性结肠炎 (UC) 中普遍存在,无论疾病活动如何,都会影响QoL.
- 关键的相关因素包括活跃的疾病,女性的性别,以及心理困扰,特别是焦虑.
- 建议采用全面,整体的方法来管理患有腹部疼痛的UC患者.
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