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先天性肛门直肠畸形术后排便功能障碍的肠道管理

Bowel management of defecation dysfunction after congenital anorectal malformation surgery

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【作者】 全国卫生产业企业管理协会王佚应本娟崔璀周恒宇刘丽胡丽君朱红梅张凤云陈劼刘杨王燕波徐信兰史雯嘉朱丹杨立利王梅田莎莎刘荣陶娜智敏邝云莎张慧简平周小利贾倩颖蔡莹

【Author】 National Association of Health Industry and Enterprise Management;WANG Yi;YING Benjuan;CUI Cui;ZHOU Hengyu;LIU Li;HU Lijun;ZHU Hongmei;ZHANG Fengyun;CHEN Jie;LIU Yang;WANG Yanbo;XU Xinlan;SHI Wenjia;ZHU Dan;YANG Lili;WANG Mei;TIAN Shasha;LIU Rong;TAO Na;ZHI Min;KUANG Yunsha;ZHANG Hui;JIAN Ping;ZHOU Xiaoli;JIA Qianying;CAI Ying;Children’s Hospital of Chongqing Medical University&National Clinical Research Center for Child Health and Disorders &Ministry of Education Key Laboratory of Child Development and Disorders&Chongqing Key Laboratory of Structural Birth Defect and Reconstruction;Chongqing Medical University;Children’s Hospital Zhejiang University School of Medicine;Beijing Children’s Hospital Capital Medical University;Children’s Hospital of Fudan University;Shengjing Hospital of China Medical University;Children’s Hospital of Nanjing Medical University;Guangzhou Women and Children’s Medical Center;Union Hospital of Tongji Medical College of Huazhong University of Science and Technology;Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology;Chengdu Women’s and Children’s Central Hospital;The First Hospital of Jilin University;Shenzhen Hospital of Southern Medical University;Shenzhen Children’s Hospital;Guizhou Provincial People’s Hospital;The First Affiliated Hospital of Chongqing Medical University;

【机构】 重庆医科大学附属儿童医院国家儿童健康与疾病临床医学研究中心儿童发育疾病研究教育部重点实验室结构性出生缺陷与器官修复重建重庆市重点实验室重庆医科大学浙江大学医学院附属儿童医院首都医科大学附属北京儿童医院复旦大学附属儿科医院中国医科大学附属盛京医院南京医科大学附属儿童医院广州市妇女儿童医疗中心华中科技大学同济医学院附属协和医院华中科技大学同济医学院附属同济医院成都市妇女儿童中心医院吉林大学白求恩第一医院南方医科大学深圳医院深圳市儿童医院贵州省人民医院重庆医科大学附属第一医院

【摘要】 《先天性肛门直肠畸形术后排便功能障碍的肠道管理》团体标准(以下简称“团体标准”)由来自全国16家医疗单位的26名肠道管理领域专家共同起草完成。起草组于2023年7月—2024年4月,采用循证方法,对先天性肛门直肠畸形术后排便功能障碍肠道管理的相关文献进行全面检索、筛选、分类、证据总结,汇总相关推荐意见形成团体标准初稿。2024年5月—2024年11月,研究者通过2轮德尔菲专家函询征求起草组外10个省市15名相关领域专家的意见,结合专家意见进行条目修订、完善后形成团体标准终稿。本团体标准内容包括ARM术后排便功能障碍肠道管理的适用范围、术语和定义、基本要求、评估、肠道管理策略及相关附录内容。本团体标准制定过程具有规范性、科学性、严谨性,内容全面、实用,可为各级医疗机构开展ARM术后排便功能障碍的肠道管理提供参考。

【Abstract】 The group standard for "Bowel Management Of Defecation Dysfunction After Anorectal Malformation Surgery(ARM)" was drafted by 26 experts in the field of bowel management from 16 medical institutions across China. From July 2023 to April 2024, the drafting group employed evidence-based methods to comprehensively search, screen, classify, and summarize evidence from relevant literature on bowel management for postoperative defecation dysfunction in ARM. The recommendations were compiled to form an initial draft of the "Group Standard." From May 2024 to November 2024, two rounds of Delphi expert consultation were conducted to solicit opinions from 15 experts in related fields across 10 provinces and municipalities outside the drafting group. The draft was revised and refined based on the expert feedback, resulting in the final version of the "Group Standard." This group standard encompasses the scope of application, terms and definitions, basic requirements, assessment protocols, bowel management strategies, and relevant appendices for managing postoperative defecation dysfunction in ARM. The development process adhered to principles of standardization, scientific rigor, and meticulousness. The content of this group standard is comprehensive and practical, serving as a valuable reference for healthcare institutions at all levels in implementing bowel management for postoperative defecation dysfunction in ARM patients.

【基金】 重庆市市教委科学技术研究计划项目(编号:KJZD-M202400404,KJZD-M202500401);重庆医科大学附属儿童医院第四批护理院级科研项目(编号:CHCQMU2023.01);重庆医科大学未来医学青年创新团队支持计划项目(编号:3001125)
  • 【文献出处】 护士进修杂志 ,Journal of Nurses Training , 编辑部邮箱 ,2025年22期
  • 【分类号】R473.6
  • 【下载频次】56
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