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在炎症性肠道疾病中的疲劳
Ulrike von Arnim1, Karina Scholz2
1Department of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Magdeburg, Germany.
Best practice & research. Clinical gastroenterology
|December 5, 2025
概括
疲劳在炎症性肠病 (IBD) 中很常见,几乎影响一半的患者. 本综述提供了工具和策略,以帮助医生更好地诊断和管理这种复杂的症状.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 患者体验 患者体验
背景情况:
- 疲劳是近50%的炎症性肠病 (IBD) 患者的普遍和致残症状.
- 医生经常低估疲劳的严重程度,因为它的主观性质,导致治疗不足.
- 多种因素导致IBD的疲劳,包括疾病活动,贫血,药物和肠-大脑轴的改变.
研究的目的:
- 审查目前的IBD疲劳的诊断和测量工具.
- 讨论IBD人口中疲劳的多因素原因.
- 提供基于证据的治疗建议,并识别知识差距.
主要方法:
- 关于IBD疲劳研究的综合文献综述.
- 对疲劳的诊断标准和评估工具的分析.
- 综合有关促成因素和治疗疗效的数据.
主要成果:
- 确定了各种工具来评估IBD患者的疲劳.
- 突出了关键的促成因素,如疾病活动,贫血和肠-大脑轴功能障碍.
- 总结了当前的治疗策略,并承认存在重大知识差距.
结论:
- 在IBD中,疲劳是复杂的,需要一个多维管理方法.
- 提出了一种算法,以帮助医生评估和治疗IBD相关的疲劳.
- 进一步的研究对于改善IBD疲劳的理解和管理至关重要.
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