危重儿童便秘

Jorge López, M. J. Solana, J. López‐Herce
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引用次数: 1

摘要

便秘是危重儿童常见但研究不足的并发症。它的诊断经常被推迟,因为它通常不被认为是这些患者的严重并发症。然而,便秘与危重成人和儿童的不良后果有关。很少有针对危重儿童的研究关注流行病学和风险因素,也没有关于该人群的诊断标准、诊断测试或治疗的研究。在过去的二十年里,对危重儿童缺乏这一领域的研究,而对危重成年人的研究却越来越多。入住儿科重症监护室的儿童便秘的临床表现与功能性便秘的儿童非常相似。然而,这些危重儿童不能满足功能性便秘的诊断标准。由于没有一个标准的定义,开展有关这一主题的研究相当困难。危重儿童便秘的治疗包括药物和非药物治疗,但这方面的证据也很少。聚乙二醇和乳果糖是首选的治疗方案,但有多种不同的可能性。阿片类药物引起的便秘的治疗出现了一个新的研究领域。
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Constipation in the critically ill child
Constipation is a common but understudied complication in the critically ill child. Its diagnosis is frequently delayed because it is not usually considered to be such a severe complication for these patients. However, constipation has been associated with worse outcomes in critically ill adults and children. There are only few studies in critically ill children focused on epidemiology and risk factors and there are no studies about diagnostic criteria, diagnostic tests or treatments in this population. The lack of studies in this field within critically ill children contrasts with the increasing number of studies in critically ill adults during these past two decades. Constipation clinical findings in children admitted to a pediatric intensive care unit are very similar to those observed in children with functional constipation. However, these critically ill children cannot meet the diagnostic criteria for functional constipation. As there is no a standard definition, carrying out studies about this topic is quite difficult. The treatment of constipation in critically ill children includes pharmacologic and non-pharmacologic therapies but there is also little evidence about this. Polyethylene glycol and lactulose are the preferred therapeutic options but there is a broad range of different possibilities. A new research area has emerged for treatments in opioid-induced constipation.
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来源期刊
CiteScore
1.20
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