中国儿童炎症性肠病的诊断间隔及其与生长参数的关系:一项回顾性研究
Juan Zhou1, BinRong Chen2, ZhiCheng Wang2
1Department of Gastroenterology and Nutrition, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University (Hunan Children's Hospital), Changsha, Hunan, China.
Frontiers in pediatrics
|February 20, 2025
概括
在中国儿童中,炎症性肠病 (IBD) 的延迟诊断是常见的,通常超过一年. 这种延迟显著影响生长,导致长期的身高受损.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床研究 临床研究
- 疾病诊断 疾病诊断
背景情况:
- 炎症性肠病 (IBD) 的延迟诊断是一个全球性问题,亚洲人口的数据有限.
- 需要在中国进行研究,以了解导致儿童IBD诊断延迟的因素.
- 研究延迟诊断对儿科生长的影响至关重要.
研究的目的:
- 确定与中国儿童IBD延迟诊断相关的因素.
- 评估延迟IBD诊断对儿科患者生长指标的影响.
主要方法:
- 这是一项回顾性研究,分析了222名被诊断为IBD的儿童的临床数据.
- 诊断延迟定义为从症状发作到诊断的间隔的上四分之一.
- 在入院和至少3个月的随访后评估的增长指标.
主要成果:
- 四分之一的儿童经历了超过366天的诊断延迟,主要是由于延迟入院.
- 发烧,年龄和血与诊断间隔有关.
- 延迟诊断显著增加了在入院 (OR 5.87) 和随访 (OR 3.28) 时增长迟缓的风险.
结论:
- 在中国儿童中,IBD的延迟诊断很普遍.
- IBD诊断延迟与儿科患者持续的身高损伤有关.
更多相关视频
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
301
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
301
Lung Capacity
49.2K
The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
49.2K
Inflammatory Bowel Disease II: Crohn's Disease
166
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
166
Chronic Bowel Disorders: Introduction
380
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
380


