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頁籤選單縮合
題 名 | Hydrogen Breath Test in the Assessment of Orocaecal Transit Time in Irritable Bowel Syndrome=氫吹氣試驗對於急躁性腸症候群患者「口腔-盲腸傳導時間」之研究 |
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作 者 | 楊瑞能; 楊賢馨; 吳啟華; 詹仲川; 陳姿秀; 魏秀芬; 陳定信; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 16:1 1999.03[民88.03] |
頁 次 | 頁1-8 |
分類號 | 415.47 |
關鍵詞 | 氫吹氣試驗; 口腔-盲腸傳導時間; 急躁性腸症候群; Hydrogen breath test; Orocaecal transit time; Irritable bowel syndrome; |
語 文 | 英文(English) |
中文摘要 | 『口腔-盲腸傳導時間』已被廣泛使用於評估小腸功能。氫吹氣試驗是一種安全且 簡單的方法來評估『口腔-盲腸傳導時間』。傳統的氫吹氣試驗所需儀器相當笨重且步驟繁 瑣,我們研究使用掌上型氫氣濃度偵測儀〔重量160公克〕,研究急躁性腸症候群患者進行 氫吹氣試驗以評估『口腔-盲腸傳導時間』。本研究收集20位急躁性腸症候群患者,男女各 10例,平均37±12歲,及16位年齡性別相符志願者為對照組。所有檢查者在檢查前48小 時禁止食用高纖、奶類、豆類及優格等食物,四週內沒有使用抗生素或足以影響胃腸蠕動的 藥物,所有檢查者都沒有胃腸開刀的過去病史。經過隔夜禁食後以40毫升cholohexidine(0.5% 溶液)漱口以避免口腔細菌菌落干擾造早期氫濃度波。檢驗氫氣濃度基準點後每位檢查者喝 下20公克lactulose和100毫升蒸餾水,每15分鐘檢測氫氣濃度一次共計3小時。若氫氣濃 度大於基準點20 ppm視為有意義之氫氣產生,超過3小時仍未出現氫氣產生則為延遲反應。 研究結果顯示正常志願者『口腔-盲腸傳導時間』為120±22分鐘(範圍:75-165分鐘),1 例呈延遲反應。急躁性腸症候群患者『口腔-盲腸傳導時間』為78±16分鐘(範圍:45- 105分鐘),3例呈延遲反應。急躁性腸症候群患者『口腔-盲腸傳導時間』統計學上有意義 地短於正常志願者(P<0.001)。一例急躁性腸症候群患者氫氣濃度曲線符合小腸細菌過度生 長症候群診斷。本研究顯示掌上型氫氣濃度偵測儀進行lactulose氫吹氣試驗,是簡單且非侵 襲性的方法。『口腔-盲腸傳導時間』有助於急躁性腸症候群患者腸傳導的評估,值得更進 一步研究。 |
英文摘要 | Hybrogen breath test (HBT) has been known to be helpful in the assessment of orocaecal transit time (OCTT). We prospectively studied 20 patients with irritable bowel syndrome (IBS) and 16 controls for the OCTT, using a micro-hydrogen handhold monitor. Subjects were requested to avoid high fiber, milk, bean and yogurt within 48 hours prior to the tests, and none received antibiotics or medications affecting intestinal motility for at least one week before testing. After overnight fasting, baseline hydrogen levels were measured thrice at a 10-minute interval. After oral administrtion of 20 grams of lactulose and 100 ml of distilled water, hydrogen levels were measured at a 15-minute interval for 3 hours. A rise of three successive hydrogen levels, 20 ppm above mean baseline values, was considered positivity for hydrogen production. Timing beyond 3 hours was considered a delayed response. Our results showed OCTT was defined as the timing needed for the appearance of first rise of hydrogen level 20 ppm above the mean baseline value. OCTT was shorter in patients having IBS (mean: 78 ± 16 minutes, range: 45-105 minutes) than in controls (mean: 120 ±22 minutes, range: 75-165 minutes, P<0.001). One control and 3 patients had a delayed response. One patient developed a transient rise of hydrogen levels at 45 minutes following lactulose administering, the rise was supposed to be related to bacterial overgrowth syndrome. Our data suggested that HBT is a simple, non-invasive tool in the evaluation of OCTT. Patients with IBS had a rapid OCTT. The role of HBT in IBS deserves further study. |
本系統中英文摘要資訊取自各篇刊載內容。