针对肠-大脑相互作用的腹痛相关疾病的多学科方案的表征
Minna Rodrigo1, Bruno P Chumpitazi2, Erika A Chiappini3
1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Maryland School of Medicine, Baltimore, MD, USA.
Clinical pediatrics
|February 7, 2025
概括
针对小儿腹部疼痛相关的肠脑相互作用障碍 (DGBIs) 的多学科计划的组成各不相同. 营养学家和心理学家很常见,但物理治疗师很少见,强调需要标准化的方法.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肠-大脑相互作用障碍 肠-大脑相互作用障碍
- 多学科的医疗保健
背景情况:
- 与腹部疼痛相关的肠-大脑相互作用 (DGBIs) 障碍在儿科患者中普遍存在并具有挑战性.
- 多学科计划是管理这些复杂条件的有希望的方法.
- 这些方案的具体结构和治疗方案在很大程度上仍未确定.
研究的目的:
- 在美国各地的儿科多学科DGBI项目中使用的成分和疗法.
- 在这些计划中确定常见和不常见的学科和治疗方式.
主要方法:
- 在全国范围内,在多学科的DGBI项目中执业的儿科胃肠科医生分发了一份调查.
- 收集的数据包括计划学科,提供疗法,患者病例和结果评估方法.
主要成果:
- 共有14个项目参与,学科范围从2到5. 饮食师 (79%) 和行为心理学家 (57%) 是最常见的;物理治疗师是最不常见的 (14%).
- 提供的疗法包括药物 (100%),饮食 (93%) 和心理治疗 (86%).
- 患者负载各不相同,43%的计划使用了经过验证的结果问卷.
结论:
- 儿科DGBI多学科课程在组成和治疗干预方面表现出相当大的变化.
- 需要进一步的研究来确定最佳的程序结构和疗法,以改善患者的治疗结果.
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