Division of Gastroenterology and Hepatology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, 21 Namdong-daero 774 beon-gil, Namdong-gu, Incheon, 21565, South Korea.
Dig Dis Sci. 2021 Sep;66(9):3105-3112. doi: 10.1007/s10620-020-06626-3. Epub 2020 Oct 1.
Manual abdominal massage has been shown to effectively treat slow-transit constipation, but it is labor-intensive. To offer an alternative treatment option for constipation, the Bamk-001 automatic abdominal massage device was developed. The aim of this study was to assess the effect of the Bamk-001 device on symptom profiles and colon transit time (CTT) in patients with chronic constipation.
Thirty-seven patients with chronic functional constipation diagnosed using the Rome IV criteria were enrolled prospectively from December 2018 to February 2019. All patients received device-assisted automatic abdominal massage for 15 min twice daily, once in the morning before breakfast and once at night, for 14 days. CTT was measured before and at the end of the study period. Slow-transit constipation and very-slow-transit constipation were defined as CTT ≥ 48 h and ≥ 72 h, respectively. Patients' symptom profiles regarding overall defecation satisfaction and device-related adverse events were analyzed.
Among the 37 patients, the mean age was 40.1 ± 11.8, and 5.4% (n = 2) were men. The Bamk-001 device significantly improved CTT from 54.0 (33.6-75.6) to 28.8 (18.0-52.8) h (p = 0.001) in patients with chronic constipation. In subgroup analysis, CTT improved significantly from 54.0 (33.6-75.6) to 28.8 (18.0-52.8) h (p = 0.003) and from 88.2 (74.4-124.8) to 45.6 (27.3-74.1) h (p = 0.005) in the slow-transit and very-slow-transit constipation groups, respectively (p = 0.001). Moreover, all patient symptoms were alleviated after treatment. No serious adverse events were reported.
The Bamk-001 automatic abdominal massage device showed significant care efficacy, including the improvement in CTT and symptom profiles in patients with slow-transit constipation. The use of an automatic abdominal massage device as an adjunct in the management of constipation is a potentially beneficial intervention for patients with slow-transit constipation.
手动腹部按摩已被证明可有效治疗传输缓慢型便秘，但这种方法非常耗费体力。为了提供一种治疗便秘的替代方法，开发了 Bamk-001 自动腹部按摩仪。本研究旨在评估 Bamk-001 设备对慢性便秘患者的症状谱和结肠传输时间（CTT）的影响。
2018 年 12 月至 2019 年 2 月期间，前瞻性纳入 37 名符合 Rome IV 标准的慢性功能性便秘患者。所有患者均接受设备辅助的自动腹部按摩，每天两次，每次 15 分钟，早餐前一次，睡前一次，共 14 天。在研究前后测量 CTT。传输缓慢型便秘和极缓慢传输型便秘的定义分别为 CTT≥48 h 和 CTT≥72 h。分析患者整体排便满意度和与设备相关的不良事件的症状谱。
37 名患者中，平均年龄为 40.1±11.8 岁，5.4%（n=2）为男性。Bamk-001 设备可显著改善慢性便秘患者的 CTT，从 54.0（33.6-75.6）至 28.8（18.0-52.8）h（p=0.001）。在亚组分析中，从 54.0（33.6-75.6）至 28.8（18.0-52.8）h（p=0.003）和从 88.2（74.4-124.8）至 45.6（27.3-74.1）h（p=0.005），CTT 均显著改善，分别在传输缓慢型和极缓慢传输型便秘组（p=0.001）。此外，所有患者的症状在治疗后均得到缓解。未报告严重不良事件。
Bamk-001 自动腹部按摩仪在改善传输缓慢型便秘患者的 CTT 和症状谱方面显示出显著的护理效果。自动腹部按摩仪作为便秘管理的辅助手段，可能对传输缓慢型便秘患者有益。
