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临床试验:腹部振动与步行运动计划相结合对老年便秘患者肠道准备的影响
Yuan-Yuan Zhang1, Ramoo Vimala2, Ping Lei Chui2
1School of Medical and Health Engineering, Changzhou University, Changzhou, Jiangsu, China.
Alimentary pharmacology & therapeutics
|March 26, 2025
概括
腹部振动与步行运动 (AVCWE) 计划相结合,显著改善了便秘的老年人肠道准备. 这种干预措施提高了结肠镜检查的质量和患者的满意度.
科学领域:
- 胃肠病学 胃肠病学
- 老年病的医生 老年病的医生
- 临床试验研究 临床试验研究
背景情况:
- 患有便秘的老年患者面临着不充分的肠道准备对结肠镜等手术的更高风险.
- 有效的肠道准备对于准确的诊断和治疗结肠镜检查结果至关重要.
研究的目的:
- 为了评估腹部振动与步行运动 (AVCWE) 计划相结合的疗效.
- 为了比较AVCWE与单独行走运动 (WE) 和老年便秘患者的肠道准备标准方案.
主要方法:
- 一个三臂随机对照试验,涉及271名患有便秘的老年患者.
- 干预包括AVCWE (步行+腹部振动),单独WE和标准护理.
- 使用波士顿肠道准备量表 (BBPS) 评估了足够的肠道准备.
主要成果:
- 与WE (78.9%) 和对照 (60.4%) 组相比,AVCWE组实现了显著更高的充分肠道准备率 (92.2%) (p < 0.001).
- 此外,AVCWE还提高了腺瘤检测率,提高了患者满意度,并减少了胀气.
- 准备不足的危险因素包括第一次结肠镜检查,频繁使用药和不良的饮食遵守.
结论:
- 该AVCWE计划在改善便秘的老年人肠道准备质量方面表现出显著的有效性.
- 这种干预提供了一种有前途的非药理学方法,以提高这种人群的结肠镜疗效.
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