摘要
随着儿童消化内镜技术的普及,小儿结肠镜检查应用越来越广泛。肠道准备作为肠镜检查前的基础工作,直接影响肠镜的诊疗结果。相较于成人,儿童的重要脏器功能发育不完善,认知、沟通、耐受能力较弱,儿童的消化道结构在不同年龄阶段也存在较大差别。目前国内尚无针对儿童消化内镜相关肠道准备的循证指南,因此在结合我国临床实践的基础上制订符合国际标准的儿童肠道准备循证指南,对于指导我国儿童肠道准备具有重要意义。本指南联合多学科专家,基于现有证据,采用推荐意见分级的评估、制订及评价(GRADE)系统,遵循国际指南报告规范(RIGHT),制订我国儿童消化内镜诊疗相关肠道准备快速指南,以期为儿科医师提供指导与决策依据。
With the popularization of digestive endoscopy in children, colonoscopy has been widely used. As the basis of digestive endoscopy, bowel preparation directly affects the diagnosis and treatment results of colonoscopy.Compared with adults, the functioning of important organs of children is immature, and their ability of cognition,communication and tolerance are weak. Their structure of the digestive tract is also significantly different in different ages.However, there have been no existing evidence-based guidelines on bowel preparation for digestive endoscopy of Chinese children. Therefore, it is important to develop evidence-based guidelines for bowel preparation combined with the clinical practice in China. In order to provide guidance and decision-making basis for Chinese pediatricians, we collaborated with multidisciplinary experts, based on existing evidence, adopted the grading of recommendations assessment, development and evaluation(GRADE) approach, followed the Reporting Items for Practice Guidelines in Healthcare(RIGHT) to develop this guideline for bowel preparation related to the diagnosis and treatment of children’s digestive endoscopy.
作者
中华医学会消化内镜学分会儿科协作组
中国医师协会内镜医师分会儿科消化内镜专业委员会
令狐恩强
方莹
陈耀龙
Pediatric Collaborative Group,Association of Digestive Endoscopy,Chinese Society of Medicine;Pediatric Digestive Endoscopy Special Committee of Endoscopic Physicians Branch of Chinese Medical Association;LINGHU Enqiang;FANG Ying
出处
《中国循证医学杂志》
CSCD
北大核心
2021年第3期249-259,共11页
Chinese Journal of Evidence-based Medicine
基金
中华国际医学交流基金会公益基金(编号:Z-2019-45-2001)
北京陈菊梅公益基金会资助项目(编号:2020[036]号)。
关键词
消化内镜
肠道准备
儿童
指南
Digestive endoscopy
Bowel preparation
Children
Guideline
