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脊柱裂患者过灌的长期结果:一个12年的经验研究
Techniques in coloproctology
|November 14, 2024
概括
过口灌 (TAI) 显著减少长期脊柱裂患者的便失禁. 许多停止TAI的患者之所以这样做是因为改善了肠道功能,结果与持续使用者的结果相似.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 康复医学 康复医学 康复医学
背景情况:
- 过口灌 (TAI) 对于脊柱裂的便失禁有效.
- 关于TAI有效性的长期 (>5年) 随访数据很少.
- 据报道,TAI的戒断率很高.
研究的目的:
- 评估TAI在脊柱裂患者的长期 (>10年) 疗效和生活质量影响.
- 分析TAI对肠道功能和禁欲的持久影响.
主要方法:
- 在2010年开始TAI的双脊椎病患者的纵向研究.
- 分析了基线,4个月和3年的随访数据,再加上10年后的新调查数据.
- 包括人口统计信息,肠道特征和便失禁生活质量 (FIQL) 评分.
主要成果:
- 在平均11.8年后,21/34名参与者是持续使用TAI的用户.
- 持续使用者表现出便失禁率显著下降 (76.2%至14.3%).
- 大多数戒断者 (66.7%) 由于肠功能改善而停止了TAI;两组之间无 incontinence或生活质量没有显著差异.
结论:
- 对于持续使用者来说,TAI可提供持续的便失禁缓解.
- 暂停TAI可能是由于肠道功能改善而发生的,不一定是治疗失败.
- 建议定期评估TAI用户的肠功能,以重新评估维护需求.
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