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DCR:排便习惯和激素变化对妊娠妇女痔疮的影响

2021-05-25 MedSci原创 MedSci原创

痔疮是引起肛门疼痛的常见疾病,也会导致胃肠道出血和肛门不适感,严重损害了患者的生活质量,全世界约有15%的患者受到此病的影响,其中妇女尤其受影响。

      痔疮是引起肛门疼痛的常见疾病,也会导致胃肠道出血和肛门不适感,严重损害了患者的生活质量,全世界约有15%的患者受到此病的影响,其中妇女尤其受影响。尽管女性在痔疮的发病率很高,但在怀孕和分娩后的临床实践中,关于其妊娠的前瞻性数据很少。这项研究的目的是确定自然病史,发病率,排便习惯与痔疮疾病的相关性。

 

       本项研究是一项前瞻性研究,对怀孕的妇女进行了15个月的长期跟踪随访。在妊娠的前三个月和分娩后的三个月和六个月进行密切跟踪随访。然后对妇女的人口统计资料(年龄,病史,排便习惯,布里斯托尔粪便量表)和与妊娠有关的激素(雌激素,孕激素和松弛素)的进行了测定和收集。主要结果是痔疮疾病的发展情况。

 

      该研究共纳入了109名妇女(平均年龄31.2±5.4岁)。痔疮的患病率在孕早期占11%,孕晚期占23%,分娩后1个月为36.2%,分娩后3个月为16.9%。痔疮的病史与孕早期(p <0.0001)和孕晚期(p = 0.005)的痔疮诊断显着相关。便秘症状与妊娠早期(p = 0.011)和妊娠晚期(p = 0.022)的临床疾病有关。但是激素变化与痔疮疾病的发展之间没有关联。

图:孕妇不同时期患痔疮的概率

      本项研究证实患有痔疮的妇女在怀孕期间和分娩后的患病率会明显增加。痔疮和便秘的病史与症状性痔疮的诊断显着相关。

 

 

原始出处:

Parés, David. Et al. Influence of Bowel Habit and Hormonal Changes on the Development of Hemorrhoidal Disease During Pregnancy and the Postdelivery Period: A Prospective Cohort Study. Diseases of the Colon & Rectum.2021.

 

 

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    2022-04-21 kkunny
  2. [GetPortalCommentsPageByObjectIdResponse(id=1634614, encodeId=dcaa163461400, content=<a href='/topic/show?id=8d3d5661e2b' target=_blank style='color:#2F92EE;'>#排便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56617, encryptionId=8d3d5661e2b, topicName=排便)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a25722217738, createdName=kkunny, createdTime=Thu Apr 21 17:51:29 CST 2022, time=2022-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1312814, encodeId=9da4131281400, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Thu May 27 14:51:29 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968551, encodeId=c84e9685511c, content= 本项研究证实患有痔疮的妇女在怀孕期间和分娩后的患病率会明显增加。痔疮和便秘的病史与症状性痔疮的诊断显着相关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200529/3611e9bb629c4e5b81fbd8ce784b06cc/128487eae357460bb98f67d86230c218.jpg, createdBy=ab235268530, createdName=神盾医疗局局长Jack, createdTime=Wed May 26 08:50:11 CST 2021, time=2021-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968509, encodeId=5437968509f1, content=痔疮太难了, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b7a31928393, createdName=学医无涯, createdTime=Wed May 26 06:34:32 CST 2021, time=2021-05-26, status=1, ipAttribution=)]
    2021-05-27 zxxiang
  3. [GetPortalCommentsPageByObjectIdResponse(id=1634614, encodeId=dcaa163461400, content=<a href='/topic/show?id=8d3d5661e2b' target=_blank style='color:#2F92EE;'>#排便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56617, encryptionId=8d3d5661e2b, topicName=排便)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a25722217738, createdName=kkunny, createdTime=Thu Apr 21 17:51:29 CST 2022, time=2022-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1312814, encodeId=9da4131281400, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Thu May 27 14:51:29 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968551, encodeId=c84e9685511c, content= 本项研究证实患有痔疮的妇女在怀孕期间和分娩后的患病率会明显增加。痔疮和便秘的病史与症状性痔疮的诊断显着相关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200529/3611e9bb629c4e5b81fbd8ce784b06cc/128487eae357460bb98f67d86230c218.jpg, createdBy=ab235268530, createdName=神盾医疗局局长Jack, createdTime=Wed May 26 08:50:11 CST 2021, time=2021-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968509, encodeId=5437968509f1, content=痔疮太难了, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b7a31928393, createdName=学医无涯, createdTime=Wed May 26 06:34:32 CST 2021, time=2021-05-26, status=1, ipAttribution=)]
    2021-05-26 神盾医疗局局长Jack

    本项研究证实患有痔疮的妇女在怀孕期间和分娩后的患病率会明显增加。痔疮和便秘的病史与症状性痔疮的诊断显着相关。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1634614, encodeId=dcaa163461400, content=<a href='/topic/show?id=8d3d5661e2b' target=_blank style='color:#2F92EE;'>#排便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56617, encryptionId=8d3d5661e2b, topicName=排便)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a25722217738, createdName=kkunny, createdTime=Thu Apr 21 17:51:29 CST 2022, time=2022-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1312814, encodeId=9da4131281400, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Thu May 27 14:51:29 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968551, encodeId=c84e9685511c, content= 本项研究证实患有痔疮的妇女在怀孕期间和分娩后的患病率会明显增加。痔疮和便秘的病史与症状性痔疮的诊断显着相关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200529/3611e9bb629c4e5b81fbd8ce784b06cc/128487eae357460bb98f67d86230c218.jpg, createdBy=ab235268530, createdName=神盾医疗局局长Jack, createdTime=Wed May 26 08:50:11 CST 2021, time=2021-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968509, encodeId=5437968509f1, content=痔疮太难了, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b7a31928393, createdName=学医无涯, createdTime=Wed May 26 06:34:32 CST 2021, time=2021-05-26, status=1, ipAttribution=)]
    2021-05-26 学医无涯

    痔疮太难了

    0

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