Brinberg D E, Berkeley B E
Case Western Reserve School of Medicine, Beachwood, OH 44122.
Postgrad Med. 1989 Oct;86(5):257-60, 265. doi: 10.1080/00325481.1989.11704450.
Crohn's disease is a complicated illness that affects many body systems and processes. Medical and surgical management are the mainstays of treatment. However, the value of a strong physician-patient relationship in providing an optimistic and supportive structure for the patient cannot be overestimated. As advances continue to be made in understanding the pathophysiology of Crohn's disease, better and more specific therapies will likely emerge. For the present, however, treatment must be aimed at acute exacerbations and is essentially symptomatic. As a result, care must be holistic, with the intent of providing not only pharmacologic therapy but social and psychological support as well.
克罗恩病是一种复杂的疾病,会影响多个身体系统和生理过程。药物治疗和手术治疗是主要的治疗手段。然而,医患之间牢固的关系对于为患者提供乐观且支持性的架构所具有的价值无论怎样高估都不为过。随着对克罗恩病病理生理学的认识不断取得进展,可能会出现更好、更具针对性的治疗方法。然而就目前而言,治疗必须针对急性发作,本质上是对症治疗。因此,护理必须是全面的,不仅要提供药物治疗,还要提供社会和心理支持。