重温炎症性肠病治疗中应遵循基本原则.pdfVIP

旦逝痘堂!!!!生苤!!鲞筮!!塑 ·705 ·述 评· 重温炎症性肠病治疗中应遵循的基本原则 欧阳钦 四川大学华西医院消化内科(610041) 摘要借学习中、西方炎症性肠病(IBD)处理共识之际，重温IBD治疗中应遵循的六项基本原则：①治疗前核 实诊断，避免误治；②全面评估病情，作为确定治疗目标、方案和用药的前提；③早期有效治疗以诱导缓解；④长期 持续用药以维持缓解；⑤选择适当的治疗目标、方案、药物与转换的时机；⑥综合性、个体化的治疗以确保最佳疗 效。遵循这些原则有利于规范临床决策思维和处理程序，从而提高疗效和患者的生活质量。 关键词炎症性肠病；结肠炎，溃疡性；Crohn病；治疗；基本原则；个体化 General Followedin of BowelDiseaseOUYANG Principles ManagementInflammatory of Qin．Department China Gastroenterology，WestHospital，SichuanUniversity，Chengdu(610041) Abstract the ofboththeabroadanddomestic consensusof boweldisease Duringstudy management inflammatory tobefollowedinthe ofIBDwere ofIBDshouldbe (IBD)，six reviewed：1，The generalprinciples management diagnosis confirmedfirstforavoidanceof diseasecharacteristicsshouldbeassessed for mistreating；2，The comprehensively correct andmedicationsatthe effective for establishingtherapeuticobjective，strategy beginning；3，Early therapyinducing maintenancefor the remission；4，Long—termtherapysustainingremission；5，Optimizing and oftransitionof for timing andindividualized best therapy；6，Comprehensivetherapyachievingefficacy．Following these willbebeneficialforthestandardizationof and for better principles decision—makingmanagementprogramachievi