肠道疗法药物使用及其对儿科重症监护病房肠道运动的影响:一项回顾性研究
Emmanuel Messele1, Samuel Hickey1, Susan Hamilton2
1Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
在重症儿童中,直肠药物对便秘最有效,尽管使用最少. "根据需要"的药物订单降低了给药率,这表明儿童便秘管理的改善.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 胃肠病学 胃肠病学
- 临床药理学 临床药理学
背景情况:
- 在重症儿童中,便秘很普遍,影响了结果.
- 促进肠道运动的最佳策略仍然不清楚.
研究的目的:
- 评估在接受肠道营养的重症儿童中不同肠道疗法药物的有效性.
- 为了确定影响药物管理和疗效的因素.
主要方法:
- 对121名重症儿童进行肠道营养的回顾性研究.
- 对订购与使用药物 (软化剂,刺激剂,直肠剂) 的分析.
- 基于药物暴露的多州模型来评估基于药物暴露的肠道运动概率.
主要成果:
- 结直肠药物,虽然订购/管理最少,但显示出更高的有效性.
- "按需要"订购的药物使用率较低.
- 在使用直肠剂1-2天后观察到肠道排便的更大概率.
结论:
- 在儿科重症监护中,直肠药物对便秘非常有效.
- "根据需要"的订单减少了药物管理,影响了护理.
- 这些发现支持优化小儿便秘的肠道治疗方案的订购和管理.
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