炎症性肠病患者的初级护理

Primary Care of the Patient with Inflammatory Bowel Disease.

作者信息

Park Jean R, Pfeil Sheryl A

机构信息

Division of Hospital Medicine, Department of Internal Medicine, The Ohio State University College of Medicine and Wexner Medical Center, M112 Starling Loving Hall, 320 West 10th Avenue, Columbus, OH 43210, USA.

Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Wexner Medical Center, The Ohio State University College of Medicine and Wexner Medical Center, 395 West 12th Avenue, Columbus, OH 43210, USA.

出版信息

Med Clin North Am. 2015 Sep;99(5):969-87. doi: 10.1016/j.mcna.2015.05.009.

DOI:10.1016/j.mcna.2015.05.009

PMID:26320042

Abstract

Inflammatory bowel disease involves 2 major disorders, ulcerative colitis and Crohn disease, both of which are due to inflammatory dysregulation in the gastrointestinal tract. Although these disorders have many overlapping features in pathophysiology and management, our current understanding of inflammatory bowel disease has illuminated several distinguishing features of the 2 diseases. This article highlights similarities and differences most applicable to a primary care physician's practice. Also detailed are disease-related and treatment-related complications, and routine health maintenance practices for the patient with inflammatory bowel disease.

摘要

炎症性肠病包括两种主要疾病，即溃疡性结肠炎和克罗恩病，两者均由胃肠道炎症调节异常所致。尽管这些疾病在病理生理学和管理方面有许多重叠特征，但我们目前对炎症性肠病的认识揭示了这两种疾病的一些显著特征。本文重点介绍了对初级保健医生的实践最适用的异同点。还详细阐述了与疾病和治疗相关的并发症，以及炎症性肠病患者的常规健康维护措施。