在儿科结肠力度测量研究期间监测禁食阶段的实用性
Lev Dorfman1, Khalil El-Chammas1,2, Sahana Khanna1
1Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Neurogastroenterology and motility
|January 10, 2025
概括
缩短结肠计量 (CM) 的禁食阶段对结果的影响最小. 这种调整可以减少与儿科胃肠机动性研究相关的患者不适和医疗费用.
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
- 诊断程序 诊断程序 诊断程序
背景情况:
- 结肠计量 (CM) 评估患有复杂肠道问题的儿科患者.
- 全结肠高幅度传播收缩 (HAPCs) 表明结肠神经肌肉功能正常.
- 目前的CM指南建议进行1-2小时的禁食阶段,但其诊断价值尚未得到证实.
研究的目的:
- 为了评估在结肠计量 (CM) 研究期间禁食阶段的诊断效用.
- 为了确定缩短禁食期是否会影响CM结果.
- 为儿童患者确定优化CM协议的潜在好处.
主要方法:
- 来自三级儿科中心的433项结肠力测 (CM) 研究 (2018-2022) 的回顾性分析.
- 在正常CM研究中对禁食阶段记录的评估.
- 在禁食期间评估高幅度传播收缩 (HAPCs).
主要成果:
- 在433项研究中,28.4%的患者在禁食阶段出现了全结肠HAPC,而2.5%的患者仅在禁食阶段被发现.
- 禁食期间全结肠HAPC在年轻儿童中更为常见,与食后HAPC相关.
- 大多数禁食泛结肠HAPC发生在前60分钟内;缩短禁食阶段对整体研究分类的影响最小.
结论:
- 结肠计量 (CM) 的禁食阶段可以缩短,而不会显著影响诊断的准确性.
- 优化禁食时间可以提高患者体验,减少医疗保健资源的利用.
- 进一步的研究可以改进CM协议,以提高儿科评估的效率和患者舒适度.
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