接受粪便移植治疗的难治性腹泻患者一例  

Fecal microbiota transplantation in the treatment of intractable diarrhea: report of one case

作　　者：张丽君[1] 潘雪梅[1] 谭淑艳[1] 

机构地区：[1]中山大学附属第三医院消化内科,广州510630

出　　处：《新医学》2016年第4期277-280,共4页Journal of New Medicine

摘　　要：难治性腹泻缺乏特效治疗,临床研究表明粪便移植可使这类患者获益,但鉴于患者的接受度、粪便移植操作过程和护理的特殊性,绝大部分医护人员缺乏经验而临床上较难实施。该文报道1例难治性腹泻患者存在严重菌群失调,经各种内科药物治疗无效,接受粪便移植后恢复正常排便和肠道菌群。该文详细描述了粪便移植的操作过程,并对粪便移植前后患者的饮食、作息、心理等方面的宣教辅导及护理工作进行介绍、评价和分析,为临床上实施粪便移植治疗及护理工作提供参考和借鉴。No specific therapies are available for intractable diarrhea. Clinical studies have demonstrated that fecal microbiota transplantation yields clinical benefits for patients diagnosed with intractable diarrhea. Considering the degree of acceptance by patients and the specific operating and nursing procedures of fecal microbiota transplantation,it is a challenge to perform fecal microbiota transplantation because a majority of physicians and nurses lack of clinical experience. In this article,we reported one patient with severe dysbacteriosis suffered from intractable diarrhea and was left untreated by different medication therapies. The patient restored normal defecation function and intestinal microbiota after undergoing fecal microbiota transplantation.The operating procedures of fecal microbiota transplantation were described in details. The diet,daily life,psychological guidance and nursing care were introduced,evaluated and analyzed,aiming to provide clinical evidence for the implementation and nursing care of fecal microbiota transplantation.

关 键 词：肠道菌群失调 粪便移植 护理 

分 类 号：R473.5[医药卫生—护理学]