治疗炎症性肠病的非药物方法:综述

Irina P. Brazhnikova, O. M. Konova, A. Potapov, Tatiana V. Sviridovа
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摘要

导言。炎症性肠病问题的相关性和重要性与慢性、复发性病程和发病率的稳步上升有关。随着病程的复杂化、肠道手术的广泛化,会导致残疾、工作能力下降和社会适应能力减弱。值得注意的是,大多数病例发生在幼年时期,越来越多的疾病在儿童时期就被发现。 观察。根据对俄罗斯和国外有关使用非药物方法治疗炎症性肠病的文献资料的分析,我们注意到,尽管药物治疗方法在不断改进,包括基因工程疗法的积极发展,但利用非药物技术优化治疗的有效方法和途径的探索仍在继续。 结论。炎症性肠病的长期病程与药物治疗可能产生的副作用风险和患者生活质量下降有关。因此,目前使用非药物方法治疗成人和儿童 IBD 具有重要意义。本文介绍了在治疗这类患者时使用包括非侵入性在内的多种方法的数据。这些方法潜力大、前景好、副作用小,因此需要进一步研究和观察。
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Non-Drug Methods in the Treatment of Inflammatory Bowel Diseases: a Review
INTRODUCTION. The relevance and importance of the problem of inflammatory bowel diseases is associated with a chronic, recurrent course and a steady increase in morbidity. With a complicated course of the disease, extensive operations on the intestine, this leads to disability, reduced working capacity and social adaptation. It is important to note that the maximum number of cases occurs at a young age and increasingly diseases are detected in childhood. OBSERVATIONS. Based on the analysis of the literature using Russian and foreign sources on the use of non-drug methods in the treatment of inflammatory bowel diseases, it is noted that, despite the constant improvement of drug treatment methods, including the active development of genetic engineering therapy, the search for effective methods and ways to optimize the treatment with the use of non-drug technologies continues. CONCLUSION. Long-term course of inflammatory bowel diseases is associated with a possible risk of side effects from drug therapy and a decrease in the quality of life of patients. Therefore, the use of non-drug methods in the treatment of IBD in adults and children is relevant at the moment. Data on the use of a number of methods, including non-invasive, in the treatment of this category of patients are presented. High potential, promising direction, a small number of side effects show the need for further research and observations.
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