坚持STRIDE-II的挑战:胃肠科医生和炎症性肠病患者的观点
Francisca Carvajal1, Karin Herrera2, Paulina Núñez1
1Universidad de los Andes, Centro Enfermedades digestivas, Programa Enfermedad Inflamatoria Intestinal, Clínica Universidad de los Andes, Santiago, Chile.
Gastroenterologia y hepatologia
|April 5, 2025
概括
这项研究发现,炎症性肠病计划的坚持率很高,超过90%的医生坚持,超过70%的患者遵守. 虽然成功,但改善患者的坚持仍然是可能的.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 有效的炎症性肠病 (IBD) 管理需要早期检测疾病活动和及时治疗.
- 治疗目标包括症状,生物标志物 (便calprotectin) 和内镜缓解,以减少发病率和死亡率.
研究的目的:
- 在安第斯大学诊所 (Clínica Universidad de los Andes) 的IBD计划中评估胃肠病学家的坚持和患者的遵守.
- 评估患有IBD爆发的患者遵守医疗建议的情况.
主要方法:
- 一个由结肠镜检查确认的IBD爆发的104名患者的回顾性研究.
- 随访包括短期控制 (3个月症状缓解),中期控制 (4-6个月便calprotectin<250μg/g) 和长期控制 (6-9个月内镜缓解).
主要成果:
- 90%的患者参加了短期随访,达到72%的症状缓解.
- 82%的人参加了中期随访,其中83%的人实现了生物标志物缓解.
- 77%的人参加了长期随访,59%的人获得了内镜缓解.
结论:
- 在IBD计划中,医生高度遵守STRIDE-II指南 (>90%).
- 患者对治疗和随访的遵守率超过70%.
- 虽然遵守率很高,但患者遵守的情况仍有改善的潜力.
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