Akhtar A J, Moran D, Ganesan K, Akanno J, Tran T, Wu R, Alamy M, Kaushik V S
Department of Internal Medicine, King-Drew Medical Center and Charles R. Drew University of Medicine and Science, Los Angeles, California 90059, USA.
Am J Gastroenterol. 2000 Jun;95(6):1463-5. doi: 10.1111/j.1572-0241.2000.02077.x.
Digital rectal examination (DRE) is often ignored or deferred in acute myocardial infarction (AMI). The aim of this study was to determine the safety and efficacy of DRE in patients with AMI.
This was a prospective, comparative, stratified study in an inner-city teaching hospital. A total of 480 patients from intensive care and telemetry units were stratified into three groups. Group I included 160 patients with AMI in whom a DRE was performed and electrocardiographic (EKG) recordings were obtained. Group II included 155 patients with AMI in whom DRE was not done, but EKG recordings were made. Group III consisted of 165 patients without AMI in whom DRE was performed and EKG recordings were obtained. Sustained arrhythmias and vital signs were measured.
None of the patients developed sustained arrhythmias and there was no change in vital signs. DRE resulted in the detection of several clinically significant findings.
DRE was found to be safe in our stable patients with AMI.
在急性心肌梗死（AMI）患者中，直肠指检（DRE）常被忽视或推迟。本研究旨在确定DRE在AMI患者中的安全性和有效性。
这是一项在市中心教学医院进行的前瞻性、对比性、分层研究。来自重症监护病房和遥测病房的480例患者被分为三组。第一组包括160例AMI患者，对其进行了直肠指检并记录心电图（EKG）。第二组包括155例AMI患者，未进行直肠指检，但记录了心电图。第三组由165例非AMI患者组成，对其进行了直肠指检并记录心电图。测量持续性心律失常和生命体征。
所有患者均未出现持续性心律失常，生命体征也无变化。直肠指检发现了一些具有临床意义的结果。
在我们的稳定型AMI患者中，直肠指检被发现是安全的。
