Siyal Mehreen, Abbas Zaigham, Amir Muhammad Rafay, Qadeer Muhammad Ali
Mehreen Siyal, MBBS Department of Gastroenterology and Hepatology, Dr. Ziauddin Hospital, Clifton Campus, Karachi - Pakistan.
Zaigham Abbas, FCPS, FACG Department of Gastroenterology and Hepatology, Dr. Ziauddin Hospital, Clifton Campus, Karachi - Pakistan.
Pak J Med Sci. 2024 Jan-Feb;40(3Part-II):492-498. doi: 10.12669/pjms.40.3.8349.
BACKGROUND: Irritable Bowel Syndrome (IBS) leads to significant impairment of health-related quality of life, for the alleviation of which, the efficacy of available therapies is modest. Limited data is available on the role of Saccharomyces cerevisiae in treating patients with IBS. METHODS: Thirty patients with IBS as per Rome-IV criteria, visiting our outpatient department from March 2021 to October 2021, were given capsule Saccharomyces cerevisiae 500 mg twice daily for four weeks. Evaluation for abdominal pain symptoms was done every week and the patient's compliance was assessed. IBS Quality of Life (QOL) questionnaires were filled at baseline and after four weeks of treatment. The QOL and pain scales were adjusted to 0-100 for statistical analysis. RESULTS: Seventeen patients (56.7%) were males. The age range was 21-72 years (mean ± SD: 39. 63 ± 14.32), out of which 18(60%) patients were 20-40 years old. Body Mass Index (BMI) ranged from 18-33 (25.33 ± 4.09), and 17 (56.67%) were overweight or obese. Sixteen patients had constipation predominant (53.3%), nine had diarrhea-predominant (30%), and five had mixed-type (16.7%) IBS. There was an improvement in the pain score from 63.81 at week 0 (W0) to 20.48 at the end of week 4 (W4) (p<0.001). An improvement was noted in all the eight categories of IBS QOL questionnaire, i.e., dysphoria (p<0.001), interference with activity (p<0.001), body image (p<0.001), health worry (p<0.001), food avoidance (p<0.001), social reaction (p<0.001), sexual function (p<0.001) and relationships (p<0.001). There was an overall improvement in QOL score from a mean of 24.68 at baseline to 58.09 at the end of the study duration (p<0.001). The improvement in the pain score showed a positive correlation with the improvement in quality of life (p<0.001). CONCLUSION: Treatment with Saccharomyces cerevisiae improved the pain and quality of life in patients with IBS and it appears to be a promising option for alleviating symptoms in these patients.
背景:肠易激综合征(IBS)会导致健康相关生活质量严重受损,而现有疗法在缓解该症状方面效果一般。关于酿酒酵母在治疗IBS患者中的作用,可用数据有限。 方法:2021年3月至2021年10月期间到我院门诊就诊的30例符合罗马IV标准的IBS患者,每天服用两次500毫克酿酒酵母胶囊,持续四周。每周评估腹痛症状,并评估患者的依从性。在基线和治疗四周后填写IBS生活质量(QOL)问卷。将QOL和疼痛量表调整为0 - 100进行统计分析。 结果:17例患者(56.7%)为男性。年龄范围为21 - 72岁(平均±标准差:39.63±14.32),其中18例(60%)患者年龄在20 - 40岁之间。体重指数(BMI)范围为18 - 33(25.33±4.09),17例(56.67%)超重或肥胖。16例患者以便秘为主(53.3%),9例以腹泻为主(30%),5例为混合型(16.7%)IBS。疼痛评分从第0周(W0)的63.81改善至第4周(W4)末的20.48(p<0.001)。IBS QOL问卷的所有八个类别均有改善,即烦躁(p<0.001)、对活动的干扰(p<0.001)、身体形象(p<0.001)、健康担忧(p<0.001)、食物回避(p<0.001)、社会反应(p<0.001)、性功能(p<0.001)和人际关系(p<0.001)。QOL评分从基线时的平均24.68总体改善至研究结束时的58.09(p<0.001)。疼痛评分的改善与生活质量的改善呈正相关(p<0.001)。 结论:酿酒酵母治疗改善了IBS患者的疼痛和生活质量,似乎是缓解这些患者症状的一个有前景的选择。
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