在吸收不良中使用寡合式:德尔菲研究和共识
Carmelo Diéguez Castillo1, Maryam Sidahi Serrano2, Andrea Martín Aguilar3
1Specialist in Gastroenterology, Hospital Universitario Torrecárdenas, 04009 Almería, Spain.
对吸收不良患者,如腹和膨胀等严重症状的患者,建议使用寡合性肠道配方. 标准化协议对于营养管理至关重要,随着症状的稳定,转向聚合物配方.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 医学共识 医学共识
背景情况:
- 吸收不良综合征表现为慢性腹,腹张和营养不良,使诊断和治疗复杂化.
- 寡合性肠道配方有助于肠道功能受损的吸收,但缺乏标准化的协议.
- 缺乏统一的指导方针阻碍了这些专用配方的有效实施.
研究的目的:
- 建立一个多学科的共识,使用寡合配方用于吸收不良.
- 制定标准化的营养评估和治疗吸收不良的标准化方案.
- 使用Delphi方法来收集关于寡头配方使用的专家意见.
主要方法:
- 对156名内分泌学,胃肠病学,瘤学和内科专家进行了Delphi研究.
- 管理了两轮关于临床实践和配方使用的结构化调查.
- 使用描述性统计和非参数测试分析数据,定义共识标准 (中位数≥7,IQR≤3).
主要成果:
- 广泛支持营养不良查 (79%),但只有38%的人有具体的方案.
- 腹部膨胀,疼痛和腹预测不耐受聚合物配方,偏好寡合物配方.
- 达成共识,关于从寡合物过渡到聚合物配方的有效性后症状稳定.
结论:
- 强化了对吸收不良营养管理的具体临床方案的需求.
- 突出了初始寡合体肠道配方在严重症状中使用的重要性.
- 在症状稳定后,强调控制过渡到聚合物肠道配方.
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