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Gastrointestinal Dysfunction in Chinese Patients with Parkinson’s Disease

机译:中国帕金森病患者的胃肠功能障碍

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Purpose. To observe the occurrence and influencing factors of the symptoms related to the digestive system of people at the early and middle stages of PD and of healthy controls (HCs) using a questionnaire. Method. The questionnaire was given to 108 PD patients at early and middle stages. Twelve symptoms related to the digestive system, of which seven were listed on the Parkinson’s Disease Non-Motor Symptom Scale (PD-NMSS) and the Scale for Outcomes in Parkinson’s disease-Autonomic (SCOPA-AUT) (dysgeusia, dysphagia/choking, salivation, early satiety, constipation, loose stools, and fecal incontinence) and five symptoms used in the diagnosis and treatment of PD (loss of appetite, dry mouth, mouth pain, nausea and vomiting), were used. The questionnaire was also given to HCs. Results. There was no significant difference in age, sex, height, weight, or body mass index (BMI) between the PD group and HCs. Of the 108 people at the early and middle stages of PD, the most common symptoms related to the digestive system were 64 cases of dry mouth (59.26%), 53 cases of constipation (49.07%), and 40 cases of dysgeusia (37.04%). Multivariate binary logistics regression revealed that dysgeusia (P0.001), dysphagia (P=0.004), early satiety (P=0.001), and constipation (P=0.007) were more likely to occur in males. BMI, disease duration, and motor symptoms had no significant correlation with the symptoms related to the digestive system (P0.05 for all). Conclusions. Dry mouth, constipation, dysgeusia, loss of appetite, early satiety, and dysphagia are the most common (and possibly characteristic symptoms) related to the digestive system in people at the early and middle stages of PD. Being male is a risk factor for dysgeusia, dysphagia, early satiety, and constipation.
机译:目的。使用调查问卷观察PD和中间阶段和中期阶段的消化系统症状的发生和影响因素,以及使用问卷调查(HCS)的消化系统。方法。调查问卷在早期和中期给予108名PD患者。与消化系统有关的十二症状,其中七个被列入帕金森氏病非运动症状规模(PD-NMS)和帕金森病 - 自主(Scopa-Aut)的结果(痛经,吞咽困难,吞咽,养殖,使用早期饱腹感,便秘,粪便,粪便尿失禁,使用了Pd诊断和治疗的五种症状(食欲不振,口干,口腔疼痛,恶心和呕吐)。调查问卷也向HCS提供。结果。 PD组和HCS之间的年龄,性别,高度,体重或体重指数(BMI)没有显着差异。在Pd的早期和中期阶段的108人中,与消化系统有关的最常见症状为64例口干(59.26%),便秘案件53例(49.07%)和40例痢疾病例(37.04%) )。多变量二元物流回归显示,痢疾(P <0.001),吞咽困难(P = 0.004),早期饱腹感(P = 0.001),并且便秘(P = 0.007)更容易发生在雄性中。 BMI,疾病持续时间和电机症状与与消化系统有关的症状无显着相关(P> 0.05)。结论。口干,便秘,痛经,食欲不振,早期饱腹腹痛和吞咽症是与PD的早期和中间阶段的消化系统有关的最常见(和可能的特征症状)。男性是痛经,吞咽困难,早期饱腹感和便秘的危险因素。

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