关键词: Adults constipation enema fecal impaction transanal irrigation

Mesh : Humans Adult Constipation / therapy drug therapy Laxatives / therapeutic use Fecal Impaction / drug therapy Enema / methods Patient Satisfaction

来  源:   DOI:10.1080/17474124.2023.2267968

Abstract:
UNASSIGNED: Chronic constipation is a frequent symptom encountered in the daily clinical practice. The treatment of this condition mainly relies on the use of laxatives. However, patients\' satisfaction with this approach is limited, and alternative measures are often added to the treatment. Among these, particularly frequent worldwide is the use of enemas, even though literature data on its scientific validity are scarce.
UNASSIGNED: In this article, by an extensive online search of Medline (through PubMed), Scopus, Cochrane CENTRAL, EMBASE, and the Science Citation Index, the available literature data on the use of enemas in adult patients with chronic constipation, also in the perspective of available guidelines on treatment of this pathological condition, were analyzed.
UNASSIGNED: Although the use of enemas remains a frequently employed method and it is considered as useful by many physicians as an adjunctive support for the treatment of chronic constipation in adults, this practice is not substantiated by rigorous scientific data, and some studies are available only for specific instances (fecal impaction, transanal irrigation). Thus, waiting for more robust scientific data, enemas treatment should be carried out on an individual patient\'s basis, according to the experience of the caring physicians.
摘要:
慢性便秘是日常临床实践中经常遇到的症状。这种情况的治疗主要依靠使用泻药。然而,患者对这种方法的满意度有限,和替代措施经常被添加到治疗。其中,在世界范围内特别常见的是灌肠剂的使用,尽管关于其科学有效性的文献数据很少。
在本文中,通过对Medline的广泛在线搜索(通过PubMed),Scopus,科克伦中部,EMBASE,和科学引文索引,关于成人慢性便秘患者使用灌肠剂的现有文献资料,也从治疗这种病理状况的可用指南的角度来看,进行了分析。
尽管灌肠剂的使用仍然是一种经常使用的方法,并且许多医生认为它作为成人慢性便秘治疗的辅助支持是有用的,这种做法没有严格的科学数据证实,一些研究仅适用于特定的情况(粪便嵌塞,经肛门冲洗)。因此,等待更强大的科学数据,灌肠治疗应在个体患者的基础上进行,根据有爱心的医生的经验。
公众号