肠道习惯在预测肠道准备不足方面的重要性:一项前性观察性研究
Akira Higashimori1,2, Natsumi Maeda3,4, Masami Nakatani3
1Department of Gastroenterology, Minami Osaka Hospital, Osaka, Japan. higamo@omu.ac.jp.
Digestive diseases and sciences
|September 15, 2023
概括
频繁的压力和慢性兴奋剂松剂的使用预测了肠道对结肠镜检查的准备不足. 患有这些习惯的严重便秘患者可能需要加强准备方案.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 临床研究 临床研究
背景情况:
- 不充分的肠道准备 (BP) 损害了结肠镜的有效性和质量.
- 便秘是不良血压的已知预测因素,但特定的肠道习惯细节仍未得到充分探索.
研究的目的:
- 调查特定的肠道习惯,便秘严重程度和不充分的血压之间的联系.
- 在接受结肠镜检查的患者中确定不充分血压的预测因素.
主要方法:
- 对1054名接受结肠镜检查的患者进行前性观察性研究.
- 评估肠道习惯,便秘严重程度 (便秘评分系统) 和血压质量 (波士顿肠道准备量表).
- 多变量后勤回归分析以确定不充分BP的预测因素.
主要成果:
- 10%的患者 (105/1054) 的血压不足.
- 便秘的严重程度增加与不充分血压的风险增加相关 (P=0.01).
- 频繁的压力 (OR 2.09) 和慢性兴奋剂松剂使用 (OR 2.57) 是不充分的BP的显著预测因素.
结论:
- 频繁的紧张和慢性兴奋剂松剂的使用是不充分的血压的关键预测因素.
- 考虑强化肠道准备协议,用于表现为疲劳和慢性兴奋剂松剂使用的便秘患者.
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