【摘要】 目的为1例成年女性肠易激综合征患者确定治疗目标及治疗方案。方法在充分评估病人的情况后,提出临床问题,从Cochrane图书馆(2008第3期)、PubMed(1990～2008年)和SCIE(http://apps.isiknowledge.com)检索治疗肠易激综合征的系统评价和随机对照试验。根据证据结果及病人意愿为患者制定治疗方案。结果共检出与不同问题相关的随机对照试验114篇,系统评价/Meta分析21篇。通过对检索结果进行分析并结合患者意愿,为患者制定了合理的治疗方案和预期目标:控制症状,提高患者的生活质量。经16个月的随访证实,该方案适合患者。结论采用循证治疗的方法,为初诊成年女性肠易激综合征患者确定合理的治疗目标和治疗方案,控制了患者的症状,提高了其生活质量。更多还原

【Abstract】 Objective To make an individualized treatment plan for newly diagnosed irritable bowel syndrome by means of evidence-based medicine.Methods After clinical problems were put forward,systematic reviews and randomized controlled trials were collected from The Cochrane Library(Issue 3,2008)and PubMed(1990 to 2008).Treatment protocol was produced by combining the evidence and the values of the patient.Results A total of 114 RCTs and 21 systematic reviews were identified.A rational treatment plan was made upon a serious evaluation of the data to control symptoms and improve the quality of life for the patient.After a sixteen-month follow-up,the plan proved to be optimal.Conclusion The treatment efficacy in diagnosed irritable bowel syndrome has been improved by determining an individualized treatment plan according to evidence-based methods.更多还原