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Richard J Wood1, Shruthi Srinivas1, Misel Trajanovska2,3,4
1Department of Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.
直肠形类型,而不是交叉骨比例,影响儿童的节制. 禁欲会随着年龄的增长而改善,但使用阴囊时污染会对生活质量产生负面影响.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 直肠形 (ARM) 与终身功能障碍便有关.
- 在儿科ARM患者中影响抑郁和生活质量 (QoL) 的因素尚不清楚.
- 了解这些因素对于改善长期结果至关重要.
研究的目的:
- 为了研究ARM类型和骨比对 incontinence的影响.
- 为了比较不同年龄组的禁欲结果.
- 评估与各种肠道管理策略有关的QOL.
主要方法:
- 一组910名患有ARM的儿童 (年龄在2-19岁) 完成了关于便和QOL的验证调查.
- 圣器比率被用来分类圣器低发育 (正常,中度,严重).
- 禁欲被定义为自愿的肠道排便;患者根据阴囊使用和其他肠道治疗方案进行了比较.
主要成果:
- 抑郁率随着年龄的增长显著改善 (50%在≤6岁,69.8%在6-12岁,82.1%在>12岁).
- 在接受药治疗的患者中,ARM类型,而不是圣骨比率与抑郁症有关.
- 与服用药或清洁阴道的患者相比,患有污染的阴道的患者报告了显著较低的QOL.
结论:
- 在使用药治疗的儿童中,ARM类型是抑郁症的重要因素,而圣骨比则不是.
- 年龄与小儿ARM患者的控制能力改善正相关.
- 积极的肠道治疗用阴囊,当与污染相关时,会对QOL产生不利影响.
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