Zillessen E
Klinik Niederrhein, Bad Neuenahr-Ahrweiler.
Z Arztl Fortbild (Jena). 1996 Oct;90(6):487-93.
The rehabilitation in gastrointestinal diseases has experienced the introduction of new concepts. Regional health resorts (i.e., mineral springs, climate or mud baths) do not play a role anymore. Today, rehabilitation cliniques are teaching and training centers for chronic patients with multiprofessional teams. The need for rehabilitation cannot be derived from the diagnosis alone or the duration of the illness but from the severity of the symptoms and/or additional psychosocial problems. The order of the application of different techniques during medical rehabilitation differs from patient to patient and necessitates a definition of the rehabilitation goal. Chronic inflammatory bowel disease, chronic pancreatitis, and chronic liver diseases are explained as an example. "Rehabilitation of gastrointestinal or metabolic diseases' is often better described with a model of progression than with the traditional model of disablement. Therefore, a network of clinical and ambulant rehabilitation as well as an entanglement of institutions providing hospital care and after-care is required.
胃肠疾病康复领域引入了新的概念。区域疗养胜地（如矿泉、气候疗法或泥浴）已不再发挥作用。如今，康复诊所是为慢性病患者配备多专业团队的教学和培训中心。康复需求并非仅源于诊断结果或疾病持续时间，而是源于症状的严重程度和/或其他心理社会问题。医学康复过程中不同技术的应用顺序因人而异，因此需要明确康复目标。以慢性炎症性肠病、慢性胰腺炎和慢性肝病为例进行说明。“胃肠或代谢疾病的康复”用进展模型来描述往往比传统的残疾模型更合适。因此，需要一个临床和门诊康复网络，以及提供住院治疗和后续护理的机构之间的相互联系。
