接受姑息治疗患者便秘的管理。

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2025-08-01 DOI:10.31128/AJGP-08-24-7393

Jones Chen, Phillip Good, Claire Stokes, Taylan Gurgenci

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引用次数: 0

摘要

背景：便秘是接受姑息治疗患者的常见症状，并能显著影响患者的生活质量。目的：本文概述了接受姑息治疗的患者便秘的评估和管理。讨论：管理包括治疗可逆性原因，如果合适的话，以及非药物和药物干预。在姑息治疗中推荐使用的泻药是渗透性泻药和刺激性泻药。处方阿片类药物时，预防性使用泻药是必要的。甲基纳曲酮可用于治疗阿片类药物引起的便秘，但应避免用于肠梗阻患者。

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Management of constipation in people receiving palliative care.

Background: Constipation is a common symptom in patients receiving palliative care and can significantly affect a person's quality of life.

Objective: This article provides an overview of the assessment and management of constipation in patients receiving palliative care.

Discussion: Management involves treatment of reversible causes, if appropriate, as well as both non-pharmacological and pharmacological interventions. Recommended laxatives for use in palliative care are osmotic laxatives and stimulant laxatives. Prophylactic use of laxatives when prescribing opioids is essential. Methylnaltrexone can be used to manage opioid-induced constipation but should be avoided in patients with bowel obstruction.

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.