Balloon defecation as a predictor of outcome in children with functional constipation and encopresis.
Balloon defecation as a predictor of outcome in children with functional constipation and encopresis.
复制标题
气球排便作为功能性便秘和大便失禁儿童预后的预测因子。
DOI：
10.1016/s0022-3476(96)70277-9
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Loening-Baucke,V
中科院分区：
文献类型：
--
作者：
Loening-Baucke,V
ACTIVETo evaluate whether the ability to defecate a rectal balloon might predict 12-month recovery in children with functional constipation and ecopropies. METHODS我们评估了排便能力在5分钟内一个100 ml的水填充直肠气囊由20名健康儿童和139名儿童与功能性便秘和ecopropies. METHODS所有健康儿童和只有47%的患者能够排便的气球。治疗开始后12个月，51%的患者能够和34%的患者不能排便的球囊已经恢复（p <0.03）。Logistic回归分析显示，排便能力和继发性大便失禁史与恢复有关（p <0.04）。无法排便的患者或未恢复的患者的肛门直肠功能明显比能够排便的患者或恢复的患者更严重。气囊排便试验预测恢复的能力的敏感性为57%，特异性为60%，阳性预测值为0.51，阴性预测值为0.66。结论功能性便秘和大便失禁的儿童谁能够排便直肠气囊的两倍可能恢复。尽管能够和不能使用球囊排便的患者之间的恢复率存在临床显著差异，但预测值的计算表明，球囊排便试验不能可靠地预测恢复。（J PEDIATR 1996;128：336-40）
OBJECTIVETo evaluate whether the ability to defecate a rectal balloon might predict 12-month recovery in children with functional constipation and encopresis.METHODSWe evaluated the ability to defecate within 5 minutes a 100 ml water-filled rectal balloon by 20 healthy children and 139 children with functional constipation and encopresis.RESULTSAll healthy children and only 47% of the patients were able to defecate the balloon. Twelve months after the start of treatment, 51% of patients able to and 34% of patients unable to defecate the balloon had recovered (p <0.03). Logistic regression revealed that the ability to defecate the balloon and a history of secondary encopresis were related to recovery (p <0.04). Patients who were unable to defecate the balloon or who did not recover had significantly more impairment in anorectal functions than those who were able to defecate the balloon or who did recover. The ability of the balloon defecation test to predict recovery had a sensitivity of 57%, a specificity of 60%, a positive predictive value of 0.51, and a negative predictive value of 0.66.CONCLUSIONChildren with functional constipation and encopresis who were able to defecate the rectal balloon were twice as likely to recover. Even though there was a clinically significant difference in the recovery rates between patients who could and those who could not defecate the balloon, calculation of predictive values showed that the balloon defecation test could not reliably predict recovery. (J PEDIATR 1996;128:336-40)