Shaw B
Erie Family Health Center, Chicago, IL 60622, USA.
J Nurse Midwifery. 1996 Mar-Apr;41(2):155-72. doi: 10.1016/0091-2182(96)00001-8.
This article outlines the clinical management of common gastrointestinal disorders encountered in the primary care setting. The general assessment of a woman presenting with a gastrointestinal concern is reviewed. Diagnosis and management of acute and chronic diarrhea, constipation, irritable bowel syndrome, and anorectal disorders are covered with emphasis on client education. Gastroesophageal reflux disease and peptic ulcer disease is discussed with the latest treatment recommendations for Helicobacter pylori infection outlined. Diagnosis of gallbladder disease and gallstones with alternative treatment options is reviewed. Finally, the diagnosis and management of viral hepatitis is outlined. A case study is given to illustrate the basic principles needed by the nurse-midwife in the assessment, diagnosis, and management of a woman with a gastrointestinal concern.
本文概述了基层医疗环境中常见胃肠道疾病的临床管理。文中回顾了对有胃肠道问题的女性进行的一般评估。涵盖了急性和慢性腹泻、便秘、肠易激综合征及肛门直肠疾病的诊断和管理，并着重强调了对患者的教育。讨论了胃食管反流病和消化性溃疡病，并概述了幽门螺杆菌感染的最新治疗建议。回顾了胆囊疾病和胆结石的诊断及替代治疗方案。最后，概述了病毒性肝炎的诊断和管理。给出了一个案例研究，以说明助产士在评估、诊断和管理有胃肠道问题的女性时所需的基本原则。
