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用未加工麸皮进行维持治疗预防急性肛裂复发。

Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence.

作者信息

Jensen S L

出版信息

J R Soc Med. 1987 May;80(5):296-8. doi: 10.1177/014107688708000513.

Abstract

The effect of unprocessed bran in a dose of 5 g three times daily and a dose of 2.5 g three times daily for one year on the recurrence rate of anal fissures was studied in a double-blind, placebo-controlled trial in 90 patients with recently healed acute posterior anal fissures. Fifteen patients (16.6%) were withdrawn before the code was broken due to failure to follow the trial protocol for various reasons. Significantly fewer recurrences occurred in patients receiving bran 5 g three times daily (recurrence rate 16%, 95% confidence limits, 4.54 to 36.08) when compared with patients receiving bran 2.5 g three times daily (60%; 38.67 to 78.87) (P less than 0.01) and with patients receiving placebo three times daily (68%; 46.50 to 85.05) (P less than 0.01). No significant difference in recurrences was found between patients on bran 2.5 g and those on placebo.

摘要

在一项针对90例近期愈合的急性后位肛裂患者的双盲、安慰剂对照试验中,研究了每日三次服用5克未加工麸皮和每日三次服用2.5克未加工麸皮,持续一年对肛裂复发率的影响。15名患者(16.6%)因各种原因未遵循试验方案,在揭盲前退出。与每日三次服用2.5克麸皮的患者(60%;38.67至78.87)(P<0.01)以及每日三次服用安慰剂的患者(68%;46.50至85.05)(P<0.01)相比,每日三次服用5克麸皮的患者复发率显著更低(复发率16%,95%置信区间,4.54至36.08)。每日服用2.5克麸皮的患者与服用安慰剂的患者在复发率上无显著差异。

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