Kev cem quav thiab GI kuaj pom hauv cov menyuam yaus nrog cov qog nqaij hlav: Prevalence thiab ManagementⅡ
Sep 07, 2023
Txoj kev
Cov ntaub ntawv qhov chaw
Cov ntaub ntawv rau qhov kev tshawb fawb rov qab los ntawm ntau qhov chaw sib koom ua ke no tau txais los ntawm Pediatric Hospital Information System (PHIS) database. Tswj los ntawm Children's Hospital Association (CHA) (Overland Park, Kansas), PHIS cov ntaub ntawv muab cov ncauj lus kom ntxaws txog kev tso tawm hauv tsev kho mob los ntawm 48 ntawm cov tsev kho mob me me loj tshaj plaws nyob thoob plaws tebchaws Asmeskas. Cov koom haum koom tes sawv cev rau txhua cheeb tsam hauv Teb Chaws Asmeskas kev suav pej xeem thiab feem ntau ntawm cov tsev kho mob hauv tsev kho mob hauv Teb Chaws Asmeskas. Kev ntseeg tau thiab kev siv tau yog tsis tu ncua los ntawm cov ntaub ntawv kev soj ntsuam zoo los ntawm CHA thiab cov koom haum koom nrog. Cov ntaub ntawv tus neeg mob raug txheeb xyuas thiab muab tus lej cim tus neeg mob tshwj xeeb, yog li tso cai rau cov neeg mob taug qab lub sijhawm thiab hla ntau qhov kev nkag.
Kawm cov pej xeem
Peb cov neeg tshawb fawb suav nrog cov neeg mob hnub nyoog 0 txog 21 xyoo nrog kuaj mob qog nqaij hlav tuaj rau hauv tsev kho mob thaum Lub Kaum Hli 2015 thiab Kaum Ob Hlis 2019. Kom ntseeg tau tias cov neeg mob tau txais kev kho mob rau qhov mob qog nqaij hlav, cov neeg mob yuav tsum muaj ICD. -10-CM diagnosis code rau cov qog nqaij hlav thiab cov nqi them nqi rau cov khoom siv hauv nruab nrab, cov txheej txheem kev tswj hwm tshuaj khomob lossis cov tshuaj kws khomob cov cai ntawm txhua lub sijhawm thaum lub sijhawm kawm. Cov mob qog noj ntshav uas txaus siab tau muab faib ua ke los ntawm cov kab mob hauv nruab nrog cev thiab suav nrog CNS, pob txha, daim siab / biliary, raum, retinal, tsis tshwj xeeb hauv plab / plab hnyuv thiab cov qog adrenal tsis tshwj xeeb, thiab cov kev kuaj mob ntxiv, suav nrog cov nqaij mos mos, tau muab cais ua lwm cov qog nqaij hlav. Hodgkin's thiab non-Hodgkin's lymphomas (NHLs) kuj tau txheeb xyuas (online ntxiv cov ntaub ntawv 1). Cov neeg mob uas kuaj mob qog noj ntshav hauv ntau pawg mob qog noj ntshav tau raug cais tawm.
Kawm txhais
Cov txheej txheem luam tawm yav dhau los tau siv rau qhov sib xws.9 ICD-10-CM codes tau siv los txheeb xyuas qhov kev kuaj mob cem quav (K59.XX) thiab lwm yam kev kuaj mob GI, xws li mob plab hnyuv, gastritis thiab rwj; thiab cov tsos mob GI, xws li xeev siab thiab mob plab (cov ntaub ntawv ntxiv hauv online 1). Cov lej them nqi raug siv los txheeb xyuas qhov tau txais cov tshuaj tua kab mob, tshuaj opioids thiab cem quav, nrog rau chav ua haujlwm (OR) thiab tag nrho cov nqi khoom noj khoom haus parenteral (TPN). Cov neeg mob uas tsis muaj kev kuaj mob cem quav tab sis tau txais tsawg kawg yog ob yam tshuaj cem quav kuj tau txhais tias yog cem quav. Cov hnub ntawm kev tswj hwm tshuaj tau muab rho tawm los xam qhov pib thiab lub sijhawm ntawm kev siv tshuaj. Txhawm rau ntsuas qhov ua tau ntawm kev siv tshuaj opioid ntawm kev pheej hmoontawm cem quav thaum nkag, peb tau faib cov neeg mob ua plaub pawg kom paub qhov zoo tshaj plaws ntawm kev siv opioid ntawm kev siv tshuaj loog thiab mob: (1) tsis muaj qhov tshwm sim ntawm kev siv opioid, (2) tus neeg mob tau txais fentanyl nkaus xwb, (3) tus neeg mob tau txais lwm yam, tsis yog fentanyl opioids rau 1 lossis 2 hnub, thiab (4) tus neeg mob tau txais ntau dua lossis sib npaug li 2 hnub ntawm lwm yam, nonfentanyl opioids. Cov ntaub ntawv pej xeem, xws li tus neeg mob pw ua ke, haiv neeg thiab thaj chaw thaj chaw, thiab cov ntaub ntawv kho mob hauv tsev kho mob, suav nrog kev nyob ntev, kev siv saib xyuas hnyav thiab kev tuag, kuj tau los ntawm PHIS database. Lub hnub nyoog neeg mob raug xam raws li hnub nyoog ntawm lawv qhov kev sib ntsib zaum kawg thaum lub sijhawm kawm.
Kev txheeb cais
Tag nrho cov ntaub ntawv tau muab sau ua ke nrog kev piav qhia txheeb cais. Qhov nruab nrab thiab ntau yam tau siv los piav txog qhov sib txawv ntawm qhov ntau thiab qhov zaus thiab feem pua yog siv rau qhov zoo sib xws. Feem ntau ntawm cem quav ntawm tag nrho cov qog nqaij hlav qog nqaij hlav (nrog rau hauv cov kab mob kheesxaws tshwj xeeb) raug xam raws li feem pua. Kev tswj kev cem quav tau piav qhia meej. Kev sib piv tsis sib xws ntawm cov neeg uas muaj thiab tsis muaj cem quav tau ua los ntawm kev siv χ2 qhov kev ntsuam xyuas rau qhov zoo sib xws thiab Wilcoxon rank-sum tests for quantitative variables. Kev txheeb xyuas qhov tseem ceeb tau txiav txim los ntawm p-tus nqi<0.05. Statistical analyses were performed using Statistical Analysis System software V.9.4 (SAS Institute, Cary, NC).
Ntuj Herbal Tshuaj Rau Relieving cem quav-Cistanche
Cistanche yog ib tug genus ntawm parasitic nroj tsuag uas belongs rau tsev neeg Orobanchaceae. Cov nroj tsuag no paub txog lawv cov khoom siv tshuaj thiab tau siv hauv Cov Tshuaj Suav Tshuaj (TCM) rau ntau pua xyoo. Cov hom Cistanche feem ntau pom muaj nyob hauv thaj av qhuav thiab suab puam ntawm Tuam Tshoj, Mongolia, thiab lwm qhov chaw ntawm Central Asia. Cistanche nroj tsuag yog tus cwj pwm los ntawm lawv cov nqaij tawv, yellowish stems thiab muaj nuj nqis heev rau lawv cov txiaj ntsig kev noj qab haus huv. Hauv TCM, Cistanche ntseeg tau tias muaj cov khoom siv tonic thiab feem ntau yog siv los kho lub raum, txhim kho qhov tseem ceeb, thiab txhawb kev ua haujlwm ntawm kev sib deev. Nws kuj yog siv los daws cov teeb meem ntsig txog kev laus, qaug zog, thiab kev noj qab haus huv tag nrho. Thaum Cistanche muaj keeb kwm ntev ntawm kev siv tshuaj ib txwm siv, kev tshawb fawb tshawb fawb txog nws txoj kev ua tau zoo thiab kev nyab xeeb yog tsis tu ncua thiab txwv. Txawm li cas los xij, nws paub tias muaj ntau yam bioactive tebchaw xws li phenylethanoid glycosides, iridoids, lignans, thiab polysaccharides, uas tuaj yeem ua rau nws cov teebmeem tshuaj.
Wecistanche covcistanche hmoov, cistanche ntsiav tshuaj, cistanche capsules,thiab lwm yam khoom tsim los sivsuab puamcistancheraws li cov khoom siv raw, txhua yam muaj txiaj ntsig zoo rau kev tshem tawm cem quav. Cov txheej txheem tshwj xeeb yog raws li hauv qab no: Cistanche ntseeg tau tias muaj cov txiaj ntsig zoo rau kev tshem tawm cem quav raws li nws cov kev siv ib txwm siv thiab qee cov tshuaj uas nws muaj. Txawm hais tias kev tshawb fawb tshawb fawb tshwj xeeb ntawm Cistanche qhov cuam tshuam rau cem quav yog txwv, nws tau xav tias muaj ntau lub tswv yim uas yuav ua rau nws muaj peev xwm txo tau cem quav. Laxative nyhuv:Cistanchetau ntev tau siv nyob rau hauv tsoos suav tshuaj raws li ib tug tshuaj rau cem quav. Nws ntseeg tau tias muaj cov nyhuv laxative me me, uas tuaj yeem pab txhawb kev zom zaub mov thiab ua rau cem quav. Cov nyhuv no tuaj yeem raug ntaus nqi rau ntau lub tebchaw nyob hauv Cistanche, xws li phenylethanoid glycosides thiab polysaccharides. Moistening cov hnyuv: Raws li kev siv ib txwm siv, Cistanche suav hais tias muaj cov khoom siv moisturizing, tshwj xeeb yog tsom rau cov hnyuv. Txhawb nqa dej thiab lubrication ntawm txoj hnyuv, nws yuav pab tau cov cuab yeej soften thiab yooj yim dua, yog li no relieving cem quav. Anti-inflammatory Effect: cem quav tej zaum yuav txuam nrog o nyob rau hauv lub plab zom mov. Cistanche muaj qee qhov sib txuas, suav nrog phenylethanoid glycosides thiab lignans, uas ntseeg tau tias muaj cov tshuaj tiv thaiv kab mob. Los ntawm kev txo cov kab mob hauv cov hnyuv, nws tuaj yeem pab txhim kho kev zom zaub mov tsis tu ncua thiab txo qhov cem quav.