检查位置和膨胀介质对功能性便秘患者的直肠感官测试的影响
Chang-Fang Xiao1, Yi-Fan Li1, Yang-Yang Sun1
1Department of Anorectal Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200030, China.
功能性便秘的直肠感官测试因身体位置和膨胀介质而有所不同. 标准化这些因素对于临床实践和多中心研究中可靠的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 临床生理学 临床生理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 功能性便秘 (FC) 显著影响生活质量.
- 直肠传感测试 (RST) 对于诊断FC至关重要.
- 缺少RST的标准化协议,阻碍了临床应用.
研究的目的:
- 评估身体位置和张张介质对FC患者RST的影响.
- 提供证据,以制定RST的标准化操作程序 (SOP).
- 提高RST结果的可靠性和一致性.
主要方法:
- 一个单一中心的研究涉及39名FC患者.
- 在不同的身体姿势 (左侧,坐着,) 和膨胀介质 (气体,水) 下进行了直肠感官测试.
- 便秘评分系统 (CSS) 的得分与RST参数相关.
主要成果:
- 排便频率与第一个恒定的感觉体积负相关 (r = -0.323,P = 0.045).
- 痛苦的疏散努力与便体积的欲望正相关 (r=0.343,P=0.033).
- 根据身体的位置 (坐>左侧有气体) 和膨胀介质 (坐位置的水<气体) 观察到第一个恒定的感觉体积的显著差异.
结论:
- 身体位置和膨胀介质显著影响FC患者的RST结果.
- 操作细节的标准化,包括身体位置和伸展介质,对于多中心研究至关重要.
- 统一的标准操作程序是必要的,以确保FC诊断和管理的一致和可靠的RST结果.
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