治疗儿科腹痛:有什么证据?
Miguel Saps1, Samantha Arrizabalo1
1Division of Pediatrics Gastroenterology, Hepatology and Nutrition, Miller School of Medicine, University of Miami, Miami, FL, USA.
Expert review of gastroenterology & hepatology
|November 17, 2025
概括
新的指导方针为儿科腹痛障碍 (APD) 提供基于证据的治疗方法,包括刺激性肠综合征 (IBS) 和功能性腹痛 (FAP). 强烈建议使用催眠疗法和认知认知治疗来改善生活质量.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 基于证据的医学基于证据的医学.
- 临床实践指南 临床实践指南
背景情况:
- 腹部疼痛障碍 (APD),如易怒肠综合征 (IBS) 和功能性腹部疼痛 (FAP),在儿童中很常见,并损害生活质量.
- 儿童APD的管理历史上缺乏标准化,基于证据的方法.
研究的目的:
- 总结了儿童IBS和FAP的第一个基于证据的治疗指南.
- 为管理这些疾病的临床医生提供实际指导.
主要方法:
- 从1984年到2023年6月的随机对照试验 (RCT) 的系统审查.
- 在PubMed,Embase和Cochrane CENTRAL数据库中进行的搜索.
- 更新了2023年6月之后发表的研究的文献搜索.
主要成果:
- 强烈推催眠疗法和认知行为疗法 (CBT).
- 对益生菌,共生菌,薄荷油,可溶性纤维和某些药物的条件建议.
- 这些指导方针得到了RCT系统审查的支持.
结论:
- 这些指导方针标准化了基于证据的儿科APD管理.
- 它们为临床医生在复杂的治疗环境中提供了实用工具.
- 未来的工作应该解决知识差距,并评估指南对结果的影响.
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
713
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
713
Chronic Pancreatitis II: Collaborative Care
303
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
303
Appendicitis-I: Introduction
2.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.1K
Appendicitis-II: Diagnostic Studies and Management
477
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
477
Peptic Ulcer Disease IV: Management
419
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
419
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
522
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
522


