使用一种在腹部施加类似外部揉捏力的装置来治疗便秘。

Use of a device that applies external kneading-like force on the abdomen for treatment of constipation.

作者信息

Mimidis Konstantinos, Galinsky David, Rimon Efraim, Papadopoulos Vassilios, Zicherman Yehuda, Oreopoulos Dimitrios

机构信息

Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

World J Gastroenterol. 2005 Apr 7;11(13):1971-5. doi: 10.3748/wjg.v11.i13.1971.

DOI:10.3748/wjg.v11.i13.1971

PMID:15800988

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4305719/

Abstract

AIM

To evaluate the efficacy of a recently developed device that applies kneading-like motion on the abdomen in improving constipation in elderly long-term care patients.

METHODS

Thirty constipated elderly patients were randomly selected from two nursing homes. They were instructed to use the device once daily for 20 min. Rate of bowel movements, volume and consistency of stool and the use of laxantia were all recorded during a 3-wk baseline period and for 12-wk treatment period. Colonic transit time (CTT) was measured in 13 patients by radiopaque markers during the baseline and at the end of treatment.

RESULTS

Bowel movement rate (BM/week) increased from 1.4+/-0.4 BM/wk during baseline to 3.9+/-0.8 BM/wk during treatment (P<5.0x10(-7)). Stool amount that was "low" in 30 patients during baseline increased in 21 patients at the end of the study period (chi2 = 19.048-P = 1.3x10(-5)). Stool consistency, that was "hard" in 25 patients and "soft" in 5 patients during baseline, ameliorated in 23 patients at the end of the study (only 2 patients referred "hard" stool) (chi2 = 21.043-P = 4.0x10(-6)). The mean baseline CTT measured was 92.3+/-32.3 h at baseline and decreased to 49.4+/-31.3 h during the study period (P = 0.000208). No side effects were observed during the study period.

CONCLUSION

External mechanical vibration of the abdomen reduced CTT and helped to relieve severe constipation in elderly constipated patients.

摘要

目的

评估一种最近研发的、可在腹部进行类似揉捏动作的装置对改善老年长期护理患者便秘状况的疗效。

方法

从两家养老院中随机选取30名便秘老年患者。指导他们每天使用该装置一次，每次20分钟。在为期3周的基线期和12周的治疗期内，记录排便次数、粪便体积和稠度以及泻药的使用情况。在基线期和治疗结束时，对13名患者通过不透X线标志物测量结肠传输时间（CTT）。

结果

排便频率（每周排便次数）从基线期的1.4±0.4次/周增加至治疗期的3.9±0.8次/周（P<5.0x10(-7)）。在基线期30名患者中粪便量“少”，在研究期末21名患者的粪便量增加（χ2 = 19.048 - P = 1.3x10(-5)）。在基线期25名患者的粪便质地“硬”，5名患者的粪便质地“软”，在研究期末23名患者的粪便质地得到改善（仅2名患者称粪便“硬”）（χ2 = 21.043 - P = 4.0x10(-6)）。在基线期测得的平均CTT为92.3±32.3小时，在研究期内降至49.4±31.3小时（P = 0.000208）。在研究期间未观察到副作用。