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憩室病:三项研究。第二部分 - 麸皮治疗

Diverticular disease: threee studies. Part II - Treatment with bran.

作者信息

Brodribb A J, Humphreys D M

出版信息

Br Med J. 1976 Feb 21;1(6007):425-8. doi: 10.1136/bmj.1.6007.425.

DOI:10.1136/bmj.1.6007.425
PMID:766894
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1638983/
Abstract

Forty patients with diverticular disease were treated with wheat bran 24g/day for at least six months. Thirty-three patients showed a very satisfactory clinical response. Sixty per cent of all symptoms were abolished, and a further 28% were relieved. After treatment the transit times accelerated in patients whose initial times were slower than 60 hours and slowed down in those whose initial transit times were faster than 36 hours. Stool weight increased significantly. The number of intracolonic high pressure waves decreased, especially during and after eating. Barium enema studies showed less spasm in eight patients and no diverticula in three patients after taking bran. As well as relieving the symptoms of diverticular disease a high-fibre diet may also prevent the condition from developing.

摘要

40例憩室病患者接受每日24克麦麸治疗,疗程至少6个月。33例患者临床反应非常令人满意。所有症状的60%消失,另有28%得到缓解。治疗后,初始转运时间慢于60小时的患者转运时间加快,而初始转运时间快于36小时的患者转运时间减慢。粪便重量显著增加。结肠内高压波数量减少,尤其是在进食期间和进食后。钡剂灌肠研究显示,8例患者服用麸皮后痉挛减轻,3例患者无憩室。高纤维饮食除了能缓解憩室病症状外,还可能预防该病的发生。

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1
Diverticular disease: threee studies. Part II - Treatment with bran.憩室病:三项研究。第二部分 - 麸皮治疗
Br Med J. 1976 Feb 21;1(6007):425-8. doi: 10.1136/bmj.1.6007.425.
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High fibre diet in symptomatic diverticular disease of the colon.高纤维饮食与结肠症状性憩室病
Ann R Coll Surg Engl. 1985 May;67(3):173-4.
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Differential effects of dietary fibers on rat intestinal circular muscle cell size.
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Does ispaghula husk stimulate the entire colon in diverticular disease?卵叶车前草种子外壳对憩室病患者的整个结肠有刺激作用吗?
Gut. 1992 Mar;33(3):352-6. doi: 10.1136/gut.33.3.352.

本文引用的文献

1
THE INTRALUMINAL PRESSURE PATTERNS IN DIVERTICULOSIS OF THE COLON. I. RESTING PATTERNS OF PRESSURE. II. THE EFFECT OF MORPHINE.结肠憩室病的腔内压力模式。I. 静息压力模式。II. 吗啡的作用。
Gut. 1964 Jun;5(3):201-13. doi: 10.1136/gut.5.3.201.
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A ne method for studying gut transit times using radioopaque markers.一种使用不透射线标记物研究肠道通过时间的新方法。
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Effect of methylcellulose on rectal and colonic pressures in treatment of diverticular disease.甲基纤维素对憩室病治疗中直肠和结肠压力的影响。
Br Med J. 1972 Sep 23;3(5829):729-31. doi: 10.1136/bmj.3.5829.729.
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Diverticular disease of the colon: a deficiency disease of Western civilization.结肠憩室病:西方文明的一种营养缺乏性疾病。
Br Med J. 1971 May 22;2(5759):450-4. doi: 10.1136/bmj.2.5759.450.
5
Effects of dietary supplements of wheat bran and cellulose on faeces and bowel function.麦麸和纤维素膳食补充剂对粪便及肠道功能的影响。
Br Med J. 1973 Nov 17;4(5889):392-4. doi: 10.1136/bmj.4.5889.392.
6
Unprocessed bran and diverticular disease.未加工的麸皮与憩室病
Br Med J. 1972 Jun 10;2(5814):651. doi: 10.1136/bmj.2.5814.651.
7
Motility effects of operations performed for diverticular disease.针对憩室病所施行手术的动力效应。
Proc R Soc Med. 1974 Oct;67(10):1041-3. doi: 10.1177/003591577406701033.
8
Dietary management of diverticular disease.
J Am Diet Assoc. 1973 Nov;63(5):527-30.
9
Effects of increased dietary fibre on intestinal transit.膳食纤维增加对肠道转运的影响。
Lancet. 1973 Jun 9;1(7815):1278-80. doi: 10.1016/s0140-6736(73)91294-4.
10
The effect of wheat bran on intestinal transit.麦麸对肠道转运的影响。
Gut. 1975 Mar;16(3):209-13. doi: 10.1136/gut.16.3.209.