为患有自闭症谱系障碍和功能性便秘的儿童安置胃口管
Shruthi Srinivas1,2, Ihab Halaweish1,2, Kristine L Griffin1,2
1Department of Pediatric Colorectal and Pelvic Reconstructive Surgery Nationwide Children's Hospital Columbus Ohio USA.
JPGN reports
|February 13, 2025
概括
胃口管 (GT) 放置可以有效地治疗患有自闭症谱系障碍 (ASD) 的儿童的功能性便秘 (FC). 这种干预措施改善了肠道功能和生活质量,并发症最小.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 神经发育障碍 神经发育障碍
- 手术干预 手术干预
背景情况:
- 患有自闭症谱系障碍 (ASD) 和功能性便秘 (FC) 的儿童经常存在感官和行为方面的挑战.
- 这些挑战往往阻碍了口服药物的使用,这些药物对于控制便秘和失禁至关重要.
研究的目的:
- 评估胃口管 (GT) 放置在被诊断为ASD和FC的儿童中的疗效和安全性.
- 评估GT放置对便秘症状,药物管理和生活质量的影响,在这个特定的儿科群体.
主要方法:
- 对9名患有ASD和FC的儿童进行了回顾性审查,这些儿童在2020年至2023年期间接受了GT安置.
- 收集的数据包括ASD严重程度,FC症状 (便一致性,紧张) 和GT安置前后的生活质量得分.
主要成果:
- 在GT安置后,观察到便一致性的显著改善 (在大多数患者中从布里斯托尔1-2到布里斯托尔5-6).
- 排便期间的压力大大减少,胃肠道生活质量得分在便秘和药物管理方面都有所改善.
- 没有报告管道脱落或部位感染的情况,这表明了有利的安全性.
结论:
- 胃口管安置为患有ASD和FC的儿童提供了可行的治疗选择,这些儿童在口服中遇到困难.
- GTs可以显著改善便秘,改善药物输送,并对这些儿童的整体生活质量产生积极影响.
- 建议进行进一步的前性研究,以验证这些发现,并评估在更广泛的患者队列中概括性.
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