餐后腹的患病率和决定因素在第三级护理中心
Rafla Hassan1, Prashant Singh2, Sarah Ballou1
1Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Neurogastroenterology and motility
|April 1, 2024
概括
餐后腹 (PPD) 影响了大多数患有慢性腹的患者,导致症状和生活质量恶化. 女性的性别和胆囊切除病史预测了PPD,而不是心理因素.
科学领域:
- 胃肠病学 胃肠病学
- 肠-大脑相互作用
- 消化系统健康 消化系统健康
背景情况:
- 餐后腹 (PPD) 在患有肠-大脑相互作用障碍 (DGBI) 的患者中很常见.
- 在这个人群中影响PPD的因素尚不清楚.
- 这项研究调查了DGBI队列中PPD的负担,影响和预测因素.
研究的目的:
- 确定在DGBI患者中PPD的患病率和影响.
- 确定PPD的临床和人口预测因素.
- 评估PPD与生活质量之间的关联.
主要方法:
- 包括213名患有慢性腹的患者,符合Rome IV标准的IBS-D或FDiarr.
- 使用ROME IV问题评估PPD;收集了人口统计数据,胃肠道症状,心理因素和生活质量.
- 使用奇平方和t测试进行比较和多重线性回归进行预测分析.
主要成果:
- 75.6%的患者报告了PPD.
- 在女性,IBS-D,功能性消化不良症和胆囊切除术后患者中观察到更高的PPD患病率.
- PPD与腹严重程度增加,腹痛和生活质量降低有关,但与心理痛苦无关.
结论:
- 在患有DGBI的慢性腹患者中,PPD的流行率很高.
- 女性性别和胆囊切除病史是PPD的独立预测因素.
- 心理因素不能预测PPD,这表明专注于生理或解剖因素是有必要的.
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