| 标题： | 中国儿童慢性胰腺炎临床管理专家共识 |
| title： | Consensus on the clinical management of pediatric chronic pancreatitis in China |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 诊疗 |
| field： | Diagnosis and Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 儿科医师，消化科医师 |
| Guide users： | Paediatrician, Gastroenterologist |
| 证据分级方法： | 本共识按德尔菲研究实施与报告标准（standards for conducting and reporting Delphi studies，CREDES）制定，超过70% 的专家组成员赞成时，则为该条推荐意见达成共识。 |
| Evidence grading method： | This consensus is established in accordance with the standards for conducting and reporting Delphi studies (CREDES), and a consensus is reached when more than 70% of the Panelists approve the recommendation. |
| 制定单位： | 中华医学会儿科学分会消化学组 |
| Formulating unit： | Gastroenterology Group of the Paediatrics Branch of the Chinese Medical Association |
| 注册时间： | 2024-07-09 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN977 |
| Registration number： | |
| 指南制订的目的： | 尽管慢性胰腺炎在儿童中的发病率仍然很低，但其增长速度迅速，目前与急性胰腺炎和急性复发性胰腺炎不相上下。与成人不同，遗传和阻塞性病因在儿童慢性胰腺炎中更为常见。由慢性胰腺炎引起的慢性疼痛已经内分泌和/或外分泌功能不全，严重影响儿童健康，并导致生活质量整体受损。 目前尚缺乏专门的指南来指导慢性胰腺炎患儿诊治，只能依赖成人文献和囊性纤维化指南来指导治疗。然而，管理的关键方面，如营养、疼痛管理、生活方式调整和疾病预后，似乎与这些人群不同，需要对儿童慢性胰腺炎诊治进行进一步的指导。 |
| Purpose of the guideline： | Although the incidence of chronic pancreatitis in children remains low, it is growing rapidly and is now comparable to acute pancreatitis and acute recurrent pancreatitis. Unlike in adults, genetic and obstructive etiologies are more common in children with chronic pancreatitis. Chronic pain, endocrine, and/or exocrine insufficiency caused by chronic pancreatitis have severely affected children's health and led to an overall impaired quality of life. There is a lack of specific guidelines to guide the management of children with chronic pancreatitis, relying on adult literature and cystic fibrosis guidelines to guide treatment. However, critical aspects of management, such as nutrition, pain management, lifestyle modification, and monitoring prognosis, appear to be different from these populations, and further guidance is needed for the diagnosis and management of chronic pancreatitis in children. |
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