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临床试验:功能性消化不良患者的干扰电刺激——一项前瞻性随机研究。

Clinical trial: interferential electric stimulation in functional dyspepsia patients - a prospective randomized study.

机构信息

Department of Gastroenterology, Ankara Education and Research Hospital, Ankara, Turkey.

出版信息

Aliment Pharmacol Ther. 2010 May;31(9):961-8. doi: 10.1111/j.1365-2036.2010.04256.x. Epub 2010 Feb 5.

Abstract

BACKGROUND

There are several studies reporting the beneficial effects of transcutaneous electrical stimulation in patients with gastroparesis and chronic constipation.

AIM

To analyse whether transcutaneous electrical stimulation is an effective procedure in functional dyspepsia patients.

METHODS

Functional dyspepsia patients were randomly placed in vacuum interferential current (IFC) and placebo groups. Both treatments consisted of 12 sessions administered over 4 weeks. Upper gastrointestinal system symptoms were documented at the beginning, during and after the treatment sessions.

RESULTS

Patients in therapy (23 cases) and placebo (21 cases) groups were homogeneous with respect to demographic data and upper gastrointestinal system symptoms. In the therapy group, all symptoms other than early satiation improved significantly during and after the treatment sessions, whereas in the placebo group, symptoms including heartburn and vomiting did not change significantly. IFC therapy was superior to placebo with respect to epigastric discomfort, pyrosis, bloating, early satiation and postprandial fullness during the treatment sessions. One month after the treatment sessions, vacuum IFC proved to be superior to placebo with regard to early satiation and heartburn.

CONCLUSIONS

Vacuum IFC is a non-invasive and effective therapy for functional dyspepsia. Transcutaneous electrical stimulation may represent a new treatment modality for drug-refractory functional dyspepsia patients.

摘要

背景

有几项研究报告了经皮电刺激对胃轻瘫和慢性便秘患者的有益作用。

目的

分析经皮电刺激是否对功能性消化不良患者有效。

方法

功能性消化不良患者被随机分为真空干扰电流(IFC)组和安慰剂组。两种治疗均在 4 周内进行 12 次治疗。在上消化道系统症状开始、治疗期间和治疗后进行记录。

结果

治疗组(23 例)和安慰剂组(21 例)患者在人口统计学数据和上消化道系统症状方面具有同质性。在治疗组中,除早饱外,所有症状在治疗期间和治疗后均显著改善,而在安慰剂组中,烧心和呕吐等症状没有明显变化。IFC 治疗在治疗期间优于安慰剂,表现为上腹部不适、烧心、腹胀、早饱和餐后饱胀。治疗结束后 1 个月,真空 IFC 在早饱和烧心方面优于安慰剂。

结论

真空 IFC 是一种非侵入性且有效的功能性消化不良治疗方法。经皮电刺激可能成为药物难治性功能性消化不良患者的一种新的治疗方法。

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