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应对自闭症谱系障碍儿童的便秘问题——一项值得应对的挑战。

Managing constipation in children with ASD - A challenge worth tackling.

作者信息

Mulay Kalyani Vijaykumar, Karthik Sivaramakrishnan Venkatesh

机构信息

Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

出版信息

Pediatr Neonatol. 2022 May;63(3):211-219. doi: 10.1016/j.pedneo.2021.11.009. Epub 2022 Jan 31.

Abstract

Autism Spectrum disorder (ASD) is well known to be associated with significantly high rates of gastrointestinal problems, constipation being common among them, imposing a significant burden on child and the family. On account of multiple underlying factors, both diagnosis and subsequent management of constipation in children with ASD are much more challenging as compared to managing constipation in 'neurotypical' children. Associated higher rate of presentation to the hospital emergency and subsequent hospital admission rates add to the burden. Hence, there is a need for recognizing constipation as a problem in children with ASD. This review summarizes optimization of its management by adopting a multidisciplinary holistic approach to achieve good outcomes and enhance the quality of life for the child and the family.

摘要

众所周知,自闭症谱系障碍(ASD)与胃肠道问题的高发病率显著相关,便秘是其中常见的问题,给儿童及其家庭带来了沉重负担。由于多种潜在因素,与管理“神经正常”儿童的便秘相比,ASD儿童便秘的诊断和后续管理面临更大挑战。相关的更高的医院急诊就诊率和随后的住院率加重了负担。因此,有必要认识到便秘是ASD儿童的一个问题。本综述总结了通过采用多学科整体方法来优化其管理,以实现良好的治疗效果并提高儿童及其家庭的生活质量。

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