在儿科功能神经障碍的处方和取消处方时的考虑因素
Jamie Gainor DiPietro1, Alison Manning2, Heather A Chapman1
1Warren Alpert Medical School of Brown University; Hasbro Children's Partial Hospital Program; Hasbro Children's Hospital/Rhode Island Hospital; Providence, RI.
对儿科功能神经障碍 (FND) 的处方缺乏证据. 临床医生应限制药物使用,并专注于为患有FND的儿童提供多学科护理,以避免过度医疗.
科学领域:
- 儿科神经学 儿科神经学
- 临床药理学 临床药理学
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 功能神经障碍 (FND) 在儿童和青少年中很普遍.
- FND显著影响生活质量和医疗保健资源利用.
- 对于儿科FND的药物治疗,存在有限的基于证据的指导方针.
研究的目的:
- 为治疗儿科FND的医疗保健提供者提供实际的处方建议.
- 综合当前的知识,并确定有关青少年FND药物治疗的文献上的差距.
主要方法:
- 进行了PubMed文献的叙事审查.
- 使用的关键词包括FND和药理学.
- 专注于公认实践和文献差距的证据.
主要成果:
- 显著缺乏证据支持在儿科FND中使用药物.
- 独特的挑战使这群人群的处方复杂化.
- 多药和功能性症状的过度医疗是潜在的风险.
结论:
- 尽量减少对儿科FND的药物处方.
- 优先考虑可能有助于多药的停止处方药物.
- 强调为儿科FND管理采用全面,多学科的方法.
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