Ann Ital Chir. 2020;91:192-195.
Haemorrhoids are defined as the distal displacement and venous distention of the normal hemorrhoidal cushions. Multiple factors have been claimed to be causes of hemorrhoidal development, but the exact pathophysiology is poorly understood. The objective of this study was to assess how common is the habit to spend a long time on the toilet in patients seen for hemorrhoidal disease. Our hypothesis is that haemorrhoids could be significantly associated with a long sitting time because this practice contributes to the weakening and then dilatation of the hemorrhoidal cushions.
The survey was conducted from April 2019 to June 2019. The study group consisted of 52 adult non-obese patients with diagnosed internal or external haemorrhoids. These patients have been asked to fill an anonymous short questionnaire. We divided the group into four classes and we calculated the mean time spent on the toilet for each group. Then we realized a plot to assess a relationship among these two variables.
We found that the two studied variables (time spent on the toilet and degree of haemorrhoids) seemed to be linked by a linear association (R2=0.95).
The results obtained in our preliminary study encourage us to continue this work, increasing the number of patients. If our supposition should be confirmed by further studies, we could say that toilet habits modification should be advised to any patients with any degree of haemorrhoids, as a part of treatment and as a preventive measure.
Haemorrhoids, Goligher's classification, Constipation, Toilet habit.
痔疮被定义为正常痔垫的远端移位和静脉扩张。有多种因素被认为是痔疮发展的原因，但确切的病理生理学机制仍不清楚。本研究的目的是评估在因痔病就诊的患者中，长时间坐在马桶上的习惯有多常见。我们的假设是，痔疮与长时间坐着显著相关，因为这种做法会导致痔垫变弱和扩张。
该调查于 2019 年 4 月至 2019 年 6 月进行。研究组由 52 名患有确诊内痔或外痔的成年非肥胖患者组成。这些患者被要求填写一份匿名的简短问卷。我们将该组分为四组，并计算每组在马桶上的平均时间。然后我们绘制了一个图表来评估这两个变量之间的关系。
我们发现，两个研究变量（在马桶上的时间和痔疮程度）似乎通过线性关联（R2=0.95）相关联。
我们初步研究的结果鼓励我们继续这项工作，增加患者数量。如果我们的假设在进一步的研究中得到证实，我们可以说，改变马桶习惯应该作为治疗和预防措施的一部分，建议任何程度的痔疮患者都这样做。
痔疮、戈尔格分类、便秘、马桶习惯。
