数字直肠检查在直肠测量前不经常进行
Joseph A Menand1, Robinderpal Sandhu2, Yonatan Israel3
1Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside and West Hospitals, New York, NY, 10019, USA. Joseph.Menand@mountsinai.org.
Digestive diseases and sciences
|January 3, 2024
概括
数字直肠检查很少在慢性便秘的阳门测量前进行. 它在检测不协同排便时的灵敏度因提供者的专业知识而异.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 盆地底疾病 盆地底疾病
背景情况:
- 在直肠测量 (ARM) 之前,建议进行数字直肠检查 (DRE).
- 关于DRE性能及其诊断价值的现实数据有限.
- 慢性便秘通常涉及不协同的排便.
研究的目的:
- 在现实环境中确定 ARM 之前 DRE 的频率.
- 评估DRE在检测异能排便中的灵敏度.
- 为了比较DRE的灵敏度与ARM和气球驱逐试验 (BET).
主要方法:
- 对142名因慢性便秘 (2021-2022) 接受ARM治疗的患者进行了回顾性单中心研究.
- 主要结局:在ARM之前进行DRE的比率.
- 二级结局:DRE对于识别异能排便的敏感性.
主要成果:
- 只有42.3%的患者在ARM之前有DRE.
- 整体DRE对异能排便的敏感度为46.4%.
- 胃肠病学提供者 (p=.004) 的敏感性显著更高,在参加胃肠病学家的患者中达到82.6%.
结论:
- 数字直肠检查在慢性便秘的治疗中未得到充分利用.
- 对于不协同排便的DRE的诊断准确性受到提供者纪律和培训水平的影响.
- 胃肠病学提供者,特别是护理人员,在通过DRE检测异能排便时表现出更高的灵敏度.
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