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Updated: Feb 2, 2026

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在肠道管理计划中成功过渡的预测因素
Anastasia M Kahan1, Sarah Zobell2, Lija Mammen1
1University of Utah, Department of Surgery, Division of Pediatric Surgery, Salt Lake City, Utah, USA.
Journal of pediatric surgery
|January 31, 2026
概括
大约一半在肠道管理计划 (BMPs) 的患者在两年内过渡到更少的侵入性治疗. 功能性便秘病例显示早期降级,支持BMP的有效性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肠道管理 肠道管理
- 临床结果 临床结果
背景情况:
- 肠道管理计划 (BMPs) 有效治疗严重的便秘和压缩.
- 在BMP中评估治疗降级对于优化患者护理至关重要.
- 确定降级治疗的预测因素可以改善管理策略.
研究的目的:
- 评估BMP中从更具侵入性的治疗方法转向更少侵入性的治疗方法的转变率.
- 为了确定与随着时间的推移成功降级治疗相关的临床特征.
主要方法:
- 在BMP (2020-2024) 中对98名患者的回顾性分析.
- 随访数据是在6,12,18和24个月收集的.
- 降级定义为从阴囊到药或从药到不服用药物;成功率<2次便涂抹/周. 使用多变量考克斯回归.
主要成果:
- 49%的患者 (48/98) 在12.9个月的中位随访期下降治疗.
- 降级的中位时间为6.2个月.
- 最常见的诊断:功能性便秘 (74%),赫施普朗格病 (16%). 62%的人使用阴囊开始.
结论:
- 几乎一半的儿科患者在BMP可以在两年内过渡到更少的侵入性疗法.
- 在功能性便秘患者中观察到较早的降级.
- 结构化的BMP是有效的,研究结果可以指导治疗降级方面的咨询.
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