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乳果糖治疗中国儿童慢性便秘:一项随机对照试验。

Lactulose for the treatment of Chinese children with chronic constipation: A randomized controlled trial.

作者信息

Cao Yuan, Liu Shi-Ming

机构信息

Department of Pharmacy, Yulin No. 2 Hospital, Yulin.

Department of Health Materials, Yan'an People's Hospital, Yan'an, Shaanxi, China.

出版信息

Medicine (Baltimore). 2018 Dec;97(52):e13794. doi: 10.1097/MD.0000000000013794.

Abstract

BACKGROUND

This study aimed to investigate the efficacy and safety of lactulose for the treatment of Chinese children with chronic constipation.

METHODS

A total of 100 children with chronic constipation were included in this randomized controlled trial. They were equally and randomly allocated to a treatment group (n = 50) and a placebo group (n = 50). The participants in the treatment group received lactulose, while the subjects in the placebo group received placebo intervention. The children in both groups were treated for a total of 6 weeks. The primary outcome was daily stool frequency. The secondary outcomes consisted of stool consistency, measured by the Bristol Stool Form Scale, abdominal pain, flatulence, as well as the adverse events. All outcomes were measured at baseline and after 6-weeks treatment.

RESULTS

After 6 weeks treatment, lactulose showed better outcomes in daily stool frequency (P < .01), and stool consistency (P < .01), except the abdominal pain (P = .24), and flatulence (P = .44), compared with the placebo. Additionally, no significant differences regarding all adverse events were detected between 2 groups.

CONCLUSION

The results of this study found that lactulose is efficacious for Chinese children with chronic constipation after 6-weeks of treatment.

摘要

背景

本研究旨在探讨乳果糖治疗中国慢性便秘儿童的疗效和安全性。

方法

本随机对照试验共纳入100例慢性便秘儿童。他们被平均随机分配到治疗组(n = 50)和安慰剂组(n = 50)。治疗组参与者接受乳果糖治疗,而安慰剂组受试者接受安慰剂干预。两组儿童共治疗6周。主要结局指标为每日排便次数。次要结局指标包括用布里斯托大便分类法测量的大便稠度、腹痛、肠胃胀气以及不良事件。所有结局指标均在基线时和治疗6周后进行测量。

结果

治疗6周后,与安慰剂相比,乳果糖在每日排便次数(P <.01)和大便稠度(P <.01)方面显示出更好的效果,但在腹痛(P =.24)和肠胃胀气(P =.44)方面除外。此外,两组之间在所有不良事件方面未检测到显著差异。

结论

本研究结果发现,治疗6周后,乳果糖对中国慢性便秘儿童有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8598/6314691/b248381ec64c/medi-97-e13794-g001.jpg

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