Bassaly Renee, Downes Katheryne, Hart Stuart
From the Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL.
Female Pelvic Med Reconstr Surg. 2011 Jan;17(1):36-9. doi: 10.1097/SPV.0b013e3182044b5c.
: The aim of this study was to survey interstitial cystitis/bladder pain syndrome (IC/BPS) patients with a Web-based questionnaire to determine which consumables (foods, drinks, supplements/spices, and general food categories) truly exacerbate IC/BPS symptoms.
: The Interstitial Cystitis Association posted a Web link on its Web site offering its members participation in the Web-based questionnaire from April 2009 to February 2010. Members were asked questions on the effect of 344 different foods, drinks, supplements, condiments/spices, and general food categories on urinary frequency, urgency, and/or pelvic pain symptoms. Members were asked to score symptoms related to consumables on a symptom Likert scale of 0 to 5. Questions on ethnicity, education, symptom duration, seasonal allergies, irritable bowel syndrome, and specific diets were included.
: There were 598 complete responses to the questionnaire, and 95.8% of the participants answered that certain foods and beverages affected their IC/BPS symptoms. Most items had no effect on symptoms. Items that made symptoms worse were citrus fruits, tomatoes, coffee, tea, carbonated and alcoholic beverages, spicy foods, artificial sweeteners, and vitamin C. Only calcium glycerophosphate (Prelief; AK Pharma, Inc, Pleasantville, NJ) and sodium bicarbonate (baking soda) had a trend toward improvement in symptoms.
: Interstitial cystitis diets do not have to be overly restrictive. It is recommended that patients with IC/BPS avoid citrus fruits, tomatoes, coffee, tea, carbonated and alcoholic beverages, spicy foods, artificial sweeteners, and vitamin C. The use of calcium glycerophosphate and/or sodium bicarbonate before consumption of these trigger consumables may also help reduce sensitivity.
本研究旨在通过基于网络的问卷对间质性膀胱炎/膀胱疼痛综合征（IC/BPS）患者进行调查，以确定哪些消费品（食物、饮料、补充剂/香料和一般食物类别）会真正加重IC/BPS症状。
间质性膀胱炎协会于2009年4月至2010年2月在其网站上发布了一个网络链接，邀请其成员参与基于网络的问卷调查。成员们被问及344种不同的食物、饮料、补充剂、调味品/香料和一般食物类别对尿频、尿急和/或盆腔疼痛症状的影响。成员们被要求根据0至5的症状李克特量表对与消费品相关的症状进行评分。问卷还包括了关于种族、教育程度、症状持续时间、季节性过敏、肠易激综合征和特定饮食的问题。
该问卷共收到598份完整回复，95.8%的参与者表示某些食物和饮料会影响他们的IC/BPS症状。大多数项目对症状没有影响。会使症状加重的项目有柑橘类水果、西红柿、咖啡、茶、碳酸饮料和酒精饮料、辛辣食物、人工甜味剂和维生素C。只有甘油磷酸钙（Prelief；AK Pharma公司，新泽西州普莱森维尔）和碳酸氢钠（小苏打）有使症状改善的趋势。
间质性膀胱炎的饮食不必过度限制。建议IC/BPS患者避免食用柑橘类水果、西红柿、咖啡、茶、碳酸饮料和酒精饮料、辛辣食物、人工甜味剂和维生素C。在食用这些引发症状的消费品之前使用甘油磷酸钙和/或碳酸氢钠也可能有助于降低敏感性。
