Gastroenterology:经胃电刺激治疗难治性呕吐

2020-02-11 MedSci MedSci原创

研究认为,经胃电刺激可缓解难治性呕吐患者症状

目前,经电刺激(GES)治疗难治性呕吐伴或不伴轻瘫的效果存在一定的争议,近日研究人员开展大规模临床研究评估GES在难治性呕吐患者中的疗效。

172名慢性顽固性呕吐患者参与研究,患者呕吐史至少12个月,平均年龄45岁,133例伴有胃轻瘫。所有患者接受GES设备植入后,随机接受4个月的电刺激治疗(14 Hz, 5 mA, 频率为330 μs)或不刺激,患者在4个月后交换,接受额外4个月治疗。研究的主要终点为呕吐评分(0-4,0代表每日呕吐,4代表无呕吐)和生活治疗。次要终点包括消化症状,营养状况,胃排空和糖尿病

研究期间,刺激组的呕吐得分高于对照组(2 vs 1),且效果不受糖尿病病情的影响。当刺激设备激活时,胃排空正常或延缓患者的呕吐得分增加更显著,设备激活与否不会影响胃排空速度。GES不会对患者生活质量产生影响。

研究认为,经胃电刺激可缓解难治性呕吐患者症状。

原始出处:


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    2021-01-20 许安
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  6. [GetPortalCommentsPageByObjectIdResponse(id=2064985, encodeId=9d172064985ec, content=<a href='/topic/show?id=94ffe853a7' target=_blank style='color:#2F92EE;'>#Gastroenterol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7853, encryptionId=94ffe853a7, topicName=Gastroenterol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0bed488, createdName=jktdtl, createdTime=Tue Mar 17 15:16:00 CST 2020, time=2020-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1712315, encodeId=30c81e1231576, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Mon Sep 21 08:16:00 CST 2020, time=2020-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2072895, encodeId=130d20e289509, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Wed Jan 20 01:16:00 CST 2021, time=2021-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394022, encodeId=4a371394022da, content=<a href='/topic/show?id=a054e00031c' target=_blank style='color:#2F92EE;'>#电刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70003, encryptionId=a054e00031c, topicName=电刺激)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqTLTjicBiccpdUyHMGZV43nOBI6QIQqxVcy2EzXz67E390Q5j0R7QWjym391HxsyiaYt7NzbrcojRDw/132, createdBy=64462500151, createdName=ms705947299214030, createdTime=Thu Feb 13 02:16:00 CST 2020, time=2020-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504930, encodeId=f22e150493031, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Thu Feb 13 02:16:00 CST 2020, time=2020-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528640, encodeId=d36615286401a, content=<a href='/topic/show?id=74b798601a1' target=_blank style='color:#2F92EE;'>#难治性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98601, encryptionId=74b798601a1, topicName=难治性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a1ef11916292, createdName=freve, createdTime=Thu Feb 13 02:16:00 CST 2020, time=2020-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=379130, encodeId=79ca3e9130ca, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Tue Feb 11 22:40:45 CST 2020, time=2020-02-11, status=1, ipAttribution=)]
    2020-02-13 freve
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    2020-02-11 qingfengqishi5

    学习了,学习了

    0