患有排便障碍的患者的排便模式是否存在性别差异? - 一个单中心的观测研究
Tatsuya Abe1, Masao Kunimoto1, Yoshikazu Hachiro1
1Department of Proctology, Kunimoto Hospital, Asahikawa, Japan.
Journal of the anus, rectum and colon
|July 27, 2023
概括
排便障碍 (DD) 的男性更频繁地表现出异能排便,而女性更容易出现不足的推进力. 阳门测量 (ARM) 揭示了两性之间的压力模式的显著差异.
科学领域:
- 胃肠病学 胃肠病学
- 生理学 生理学 生理学
背景情况:
- 排便障碍 (DD) 涉及直肠疏散受损,通过直肠计量 (ARM) 进行评估.
- 在DD中识别了四种不协同的模式,表明复杂的生理机制.
研究的目的:
- 为了比较被诊断患有排便障碍的男性和女性之间的测量力参数和不协同模式.
主要方法:
- 连续出现DD症状的患者接受了ARM,气球驱逐测试和分泌学.
- 根据试图排便期间的直肠和门压力反应来分类失能模式.
主要成果:
- 与女性 (54.6%) 相比,男性 (73.1%) 的比例更高,被诊断为DD.
- 患有DD的男性的直肠和门压力明显高于女性.
- 具体的不协同模式因性别而异:I型在男性中更为普遍,而II型和IV型在女性中更为普遍.
结论:
- 患有DD的男性更有可能出现不协同的排便.
- 患有DD的女性倾向于表现出不充分的排便推进力.
- 需要进一步的研究来验证在排便障碍模式中的这些基于性别的差异.
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