心理社会和神经发育障碍对小儿性结肠炎的影响:单中心,回顾性,观察性研究
Akio Nakamura1, Keisuke Jimbo1, Mitsuyoshi Suzuki1
1Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo-ku, Tokyo, Japan.
儿科性结肠炎 (UC) 患者中常见的是心理社会和神经发育障碍,影响疾病的严重程度和治疗. 综合性护理整合心理社会支持对于有效管理至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 神经发育儿科 神经发育儿科
- 儿童心理学 儿童心理学
背景情况:
- 儿科性结肠炎 (UC) 管理可能受到同时出现的心理社会和神经发育障碍的影响.
- 了解这些并发症对于优化治疗策略和患者的治疗结果至关重要.
研究的目的:
- 评估心理社会和神经发育障碍对儿科UC的影响.
- 评估这些疾病,疾病严重程度和治疗方法之间的关系.
主要方法:
- 一项回顾性观察性研究分析了166名15岁以下的儿科UC患者的数据.
- 伴随性疾病,疾病严重程度 (儿科性结肠炎活动指数) 和治疗选择是从电子医疗记录中提取的.
主要成果:
- 儿科UC患者中有21.4%患有神经发育障碍;17.5%患有功能性胃肠道障碍.
- 并发症与较低的疾病活性得分有关,但疾病更广泛,免疫调节剂和生物制剂的使用增加.
- 在患有自闭症谱系障碍的患者中,功能性胃肠道障碍更为常见,在23.2%的病例中,需要专门的发育护理.
结论:
- 心理社会和神经发育障碍在儿科UC中普遍存在,并显著改变疾病呈现和治疗需求.
- 包括心理社会干预在内的多学科护理对于患有这些并发症的儿科UC患者的综合管理至关重要.
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