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首页> 外文期刊>Digestive Diseases and Sciences >The Effects of Loperamide on Continence Problems and Anorectal Function in Obese Subjects Taking Orlistat
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The Effects of Loperamide on Continence Problems and Anorectal Function in Obese Subjects Taking Orlistat

机译:洛哌丁胺对肥胖患者服用奥利司他后的尿失禁和肛门直肠功能的影响

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Continence problems during treatment with orlistat (a lipase inhibitor) are caused when susceptible patients are exposed to increased volumes of loose, fatty stool. Aim: To investigate the dose-response effects of loperamide on continence and anorectal function in subjects susceptible to continence problems on orlistat. Method: Ten obese subjects enterred a randomized controlled, double-blind study of loperamide at placebo, 2, 4, and 6 mg/day in a factorial design. Continence problems during orlistat treatment were self-assessed by patient diary. Anorectal function and continence were assessed by barostat, manometry, and retention testing. Results: Loperamide increased stool consistency with dose (p = 0.07) and this effect reduced continence problems during orlistat treatment (p < 0.05). A bell-shaped dose-response relationship was present with anal sphincter function (p < 0.01) and anorectal sensitivity (p < 0.01). Conclusion: Loperamide has beneficial effects on stool consistency and continence in obese subjects taking orlistat. The effect on stool consistency appeared more important than effects on anorectal function.
机译:当易感患者暴露于增加量的疏松脂肪大便中时,会导致使用奥利司他(脂肪酶抑制剂)治疗期间的持续性问题。目的:研究洛哌丁胺对奥利司他易控性尿失禁患者的节制和肛门直肠功能的剂量反应。方法:十名肥胖受试者在因子设计中以安慰剂,2、4和6 mg /天的剂量进行了洛哌丁胺的随机对照,双盲研究。奥利司他治疗期间的排尿问题由患者日记自行评估。通过恒压仪,测压法和retention留测试评估肛门直肠功能和尿量。结果:洛哌丁胺随着剂量增加大便稠度(p = 0.07),这种作用减少了奥利司他治疗期间的排尿困难(p <0.05)。与肛门括约肌功能(p <0.01)和肛门直肠敏感性(p <0.01)之间存在钟形剂量反应关系。结论:洛哌丁胺对服用奥利司他的肥胖受试者的粪便稠度和节制有有益作用。粪便稠度的影响似乎比肛肠功能的影响更重要。

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