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泛醇摄入对排便频率和粪便形态的影响:一项前瞻性、双盲、随机对照研究。

Effect of Ubiquinol Intake on Defecation Frequency and Stool Form: A Prospective, Double-Blinded, Randomized Control Study.

作者信息

Suzuki Sho, Gotoda Takuji, Kusano Chika, Ikehara Hisatomo, Miyakoshi Yo, Fujii Kenji

机构信息

1 Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.

2 Department of Gastroenterology, Yuri Kumiai General Hospital, Akita, Japan.

出版信息

J Med Food. 2019 Jan;22(1):81-86. doi: 10.1089/jmf.2018.4233. Epub 2018 Sep 7.

Abstract

Bowel habits affect the quality of life (QOL) of patients with functional gastrointestinal disorders. This study evaluated the effects of reduced form coenzyme Q 10 (ubiquinol) intake on defecation frequency and stool form in patients with daily abdominal symptoms. This was a single-center, prospective, double-blind, randomized control study. Forty-one patients who had the daily symptom of constipation or diarrhea were randomly assigned at a 1:1 ratio to receive either ubiquinol (150 mg/day) or placebo for 12 weeks. Patients completed a daily diary to collect information regarding their numbers of defecations and stool forms according to the Bristol Stool Form (BSF) Scale for 7 days at baseline and 12 weeks. QOL was assessed using the 36-item short-form (SF-36) at baseline and 12 weeks. Twenty-one patients were assigned to the ubiquinol group, and 20 were assigned to the placebo group. At 12 weeks, the mean defecation frequency, compared to baseline, significantly decreased in the ubiquinol group (-0.1 times/day, P = .034) and increased in the placebo group (+0.3 times/day, P = .004). There was no significant change in the 12-week BSF Scale score of the ubiquinol group (+0.2, P = .123), whereas that of the placebo group was increased (+0.5, P < .001). The 12-week general health perception SF-36 score was significantly increased in the ubiquinol group (+3.5, P = .045), whereas there was no significant difference in that score in the placebo group (+1.2, P = .178). In conclusion, taking ubiquinol for 12 weeks decreased defecation frequencies and increased the QOL score, suggesting that ubiquinol may change the bowel habits and improve QOL in patients with abdominal distress.

摘要

肠道习惯会影响功能性胃肠疾病患者的生活质量(QOL)。本研究评估了服用还原型辅酶Q 10(泛醇)对每日有腹部症状患者排便频率和粪便形态的影响。这是一项单中心、前瞻性、双盲、随机对照研究。41例每日有便秘或腹泻症状的患者按1:1比例随机分配,接受泛醇(150毫克/天)或安慰剂治疗12周。患者在基线期和12周时,根据布里斯托粪便形态(BSF)量表,连续7天完成每日日记,记录排便次数和粪便形态信息。在基线期和12周时,使用36项简短健康调查量表(SF-36)评估生活质量。21例患者被分配到泛醇组,20例被分配到安慰剂组。12周时,与基线期相比,泛醇组的平均排便频率显著降低(-0.1次/天,P = 0.034),而安慰剂组则增加(+0.3次/天,P = 0.004)。泛醇组12周时的BSF量表评分无显著变化(+0.2,P = 0.123),而安慰剂组则升高(+0.5,P < 0.001)。泛醇组12周时的一般健康感知SF-36评分显著升高(+3.5,P = 0.045),而安慰剂组该评分无显著差异(+1.2,P = 0.178)。总之,服用泛醇12周可降低排便频率并提高生活质量评分,这表明泛醇可能改变肠道习惯并改善有腹部不适患者的生活质量。

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