一个随机的平行组研究数字肠导向催眠疗法与肌肉放松刺激性肠综合征
Sameer K Berry1, Rani Berry2, David Recker3
1New York Gastroenterology Associates, New York, New York.
概括
数字肠导向催眠疗法 (GDH) 改善了腹痛和便症状,在成年人有刺激性肠综合征 (IBS). 这个数字程序为IBS管理提供了一个可扩展的解决方案,提高了有效治疗的可访问性.
科学领域:
- 胃肠病学 胃肠病学
- 精神病体医学是一种精神病体医学.
- 数字健康数字健康
背景情况:
- 刺激性肠综合征 (IBS) 是一种普遍存在的胃肠疾病.
- 肠导向性催眠疗法 (GDH) 是一种有效的IBS治疗方法,但其可用性有限.
- 数字化提供GDH可能会改善获得护理的机会.
研究的目的:
- 为了比较自我管理的数字GDH程序与IBS成年人的数字肌肉放松 (MR) 的安全性和有效性.
- 评估数字GDH对腹痛,便一致性和便频率的影响.
主要方法:
- 一项随机对照试验,涉及378名IBS成年人.
- 参与者被随机分配到12周的数字GDH (Regulora) 或通过移动应用程序的数字MR.
- 主要终点:腹部疼痛反应 (疼痛强度减少≥30%).
主要成果:
- 362名患者被纳入了疗效分析.
- 虽然主要终点没有显著差异,但数字GDH在治疗后期 (30.9%对21.5%) 和整体 (29.3%对18.8%) 期间显著增加了腹痛反应者.
- 在IBS亚型中观察到疼痛,便一致性和频率的改善,没有严重的不良事件.
结论:
- 数字GDH程序可以改善IBS患者的腹痛和便症状.
- 这种干预措施显示出作为IBS综合护理的一部分的希望.
- 数字GDH为IBS管理提供了一个可扩展和可访问的治疗选择.
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