肠康复治疗和短肠综合征

Intestinal Rehabilitation Therapy in Short Bowel Syndrome

目的探讨对短肠综合征患者进行肠康复治疗的策略。方法采用文献复习的方法对肠康复治疗在短肠综合征患者中的应用加以综述。结果肠康复治疗是指重建肠道功能从而摆脱肠外营养的过程,通常包括膳食和内科保守治疗手段,有时还包括外科治疗。最近的研究显示,药物治疗、特需营养素、生长因子等的使用促进了肠代偿和吸收功能。结论肠康复治疗有益于短肠综合征患者的恢复,并将发挥更重要的作用。

To investigate the role of rehabilitation therapy both on nutritional status and intestinal adaptation of patients with short bowel syndrome （SBS）. Methods The literatures about rehabilitation therapy for SBS were reviewed. Results Intestinal rehabilitation refers to the process of restoring enteral autonomy, in order to get rid of parenteral nutrition, usually by means of dietary, medical, and surgical treatment. Recent researches showed that medication and the use of specific nutrients and growth factors could stimulate intestinal absorption and might be useful in the medical management of SBS. Conclusion Intestinal rehabilitation is of benefit in the treatment of SBS and would play a greater role in the future.