大便失禁和遗粪症的分类及一种可能的治疗方案。
The Classification of Soiling and Encopresis and a Possible Treatment Protocol.
作者信息
Murphy Shona, Carney Terri
机构信息
Ward 1A, Level 1, West, Crosshouse Hospital, Kilmarnock, Ayrshire KA2 0BE, Scotland. E-mail:
出版信息
Child Adolesc Ment Health. 2004 Sep;9(3):125-129. doi: 10.1111/j.1475-3588.2004.00094.x.
BACKGROUND
It is proposed that the classification of paediatric bowel elimination disorders is central to their effective treatment.
METHOD
By separating the terms soiling and encopresis and clearly defining the aetiologies behind both, a treatment pathway begins to emerge.
RESULTS
The theoretical model described suggests that encopresis may require only psychological management, whereas soiling (caused by constipation) is more complex, and although it needs medical management, it may or may not require psychological input.
CONCLUSIONS
By using such a functional classification to define a treatment protocol, the roles of both medical and psychological services could be more clearly understood from the outset.
背景
有人提出，小儿排便障碍的分类对于其有效治疗至关重要。
方法
通过区分弄脏内裤和大便失禁这两个术语，并明确两者背后的病因，一种治疗途径开始显现。
结果
所描述的理论模型表明，大便失禁可能仅需心理治疗，而弄脏内裤（由便秘引起）则更为复杂，虽然需要医学治疗，但可能需要也可能不需要心理干预。
结论
通过使用这种功能性分类来定义治疗方案，从一开始就能更清楚地理解医疗和心理服务的作用。
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