巴厘岛慢性便秘圆桌会议报告:亚洲的慢性便秘管理
Yi Ping Ren1, Wah Loong Chan2,3, Kee Huat Chuah2,3
1Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore.
慢性便秘在亚洲很常见,但由于耻辱和有限的工具,经常被诊断不足. 专家建议制定特定区域的指导方针,并改善对诊断和治疗的准入,以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 慢性便秘是亚洲普遍存在但未被确诊的疾病,严重影响生活质量和医疗保健系统.
- 文化上的耻辱,多样化的饮食习惯,以及对标准化诊断工具的有限访问,都导致诊断和治疗的延迟.
研究的目的:
- 为应对亚洲慢性便秘的诊断和管理方面的挑战.
- 确定关键的护理障碍,并提出特定区域的建议,以改善患者的治疗结果.
主要方法:
- 于2024年11月召开巴厘岛慢性便秘圆桌会议,来自11个亚洲国家的专家参加了会议.
- 通过调查问卷审查流行病学数据并分析跨国临床实践模式.
- 进行了结构化的讨论,以确定障碍,并提出建议.
主要成果:
- 慢性便秘的患病率在亚洲广泛变化 (印度为1.8%,日本为16.6%),不成比例地影响女性和老年人.
- 报告不足与文化禁忌和自我治疗有关;罗马四号标准可能无法完全捕捉亚洲症状概况.
- 获得先进的诊断 (运动实验室) 和新疗法 (药物治疗,生物反) 的机会有限,分布不均.
结论:
- 亚洲需要针对慢性便秘的特定区域的诊断和管理策略.
- 解决诊断和治疗方面的差距,以及加强合作,对于标准化护理和推进研究至关重要.
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