自动腹部按摩仪治疗慢性便秘患者的效果：一项前瞻性研究。,Digestive Diseases and Sciences

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自动腹部按摩仪治疗慢性便秘患者的效果：一项前瞻性研究。
Digestive Diseases and Sciences ( IF 2.5 ) Pub Date : 2020-10-01 , DOI: 10.1007/s10620-020-06626-3
Youn I Choi ₁ , Kyoung Oh Kim ₁ , Jun-Won Chung ₁ , Kwang An Kwon ₁ , Yoon Jae Kim ₁ , Jung Ho Kim ₁ , Dong Kyun Park ₁

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背景与目的手动腹部按摩已被证明可有效治疗慢传输型便秘，但需要大量劳动。为了提供便秘的替代治疗方案，开发了 Bamk-001 自动腹部按摩装置。本研究的目的是评估 Bamk-001 装置对慢性便秘患者的症状特征和结肠转运时间 (CTT) 的影响。方法 2018年12月至2019年2月前瞻性纳入罗马IV标准诊断的慢性功能性便秘患者37例。所有患者均接受设备辅助自动腹部按摩，每天2次，每次15 min，早上早餐前一次，晚上一次，14 天。在研究期之前和结束时测量 CTT。慢传输型便秘和极慢传输型便秘分别定义为 CTT ≥ 48 h 和 ≥ 72 h。分析了患者关于总体排便满意度和设备相关不良事件的症状概况。结果在 37 名患者中，平均年龄为 40.1 ± 11.8 岁，5.4% (n = 2) 为男性。Bamk-001 装置将慢性便秘患者的 CTT 从 54.0 (33.6-75.6) 显着提高到 28.8 (18.0-52.8) h (p = 0.001)。在亚组分析中，CTT 从 54.0 (33.6-75.6) 到 28.8 (18.0-52.8) h (p = 0.003) 和从 88.2 (74.4-124.8) 显着改善到 45.6 (27.3-74.1) h (p = 5) 0。慢传输和非常慢传输便秘组，分别（p = 0.001）。此外，所有患者症状均在治疗后得到缓解。没有报告严重的不良事件。结论 Bamk-001 自动腹部按摩仪显示出显着的护理效果，包括改善慢传输型便秘患者的 CTT 和症状特征。使用自动腹部按摩装置作为便秘管理的辅助手段，对于慢传输型便秘患者来说是一种潜在的有益干预。

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Effects of Automatic Abdominal Massage Device in Treatment of Chronic Constipation Patients: A Prospective Study.

BACKGROUND AND AIM 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. METHODS 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. RESULTS 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. CONCLUSION 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.

更新日期：2020-10-01

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