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临床试验/NCT01985646
NCT01985646已完成早期 1 期

A Prospective, Randomized Controlled Trial of Conservative Versus Surgery Treatment of Normal and Short-segment Hirschsprung Disease for Infants

Tongji Hospital0 个研究点目标入组 48 人开始时间: 2009年10月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
早期 1 期
状态
已完成
入组人数
48
主要终点
the change of defecation frequence

研究概览

简要总结

The present study was designed to compare the efficacy of conservative treatment to operative treatment for improvement of constipation symptoms in infants with short or normal-segment Hirschsprung disease.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
— 至 3 Months(Child)
性别
All
接受健康志愿者

入选标准

  • Hard or firm stools for twice or less per week
  • Age were from newborn to 3 months
  • Histochemical acetylcholinesterase reaction (AChE) in rectal mucosa was positive
  • The narrowed distal bowel on barium enema was characterized as normal or short-segment Hirschsprung disease with a 24h barium retention

排除标准

  • Children >3months of age
  • Patients presented severe inflammation or malnutrition, unconsciousness, and symptoms of a ruptured hollow viscus
  • Barium enema showed long-segment or total colonic aganglionic bowel

研究组 & 干预措施

surgery treatment

Experimental

one stage pull through left-colectomy

干预措施: surgery treatment (Procedure)

conservative treatment

Experimental

anal dilation, colonic lavage, oral probiotic

干预措施: anal dilation (Behavioral)

conservative treatment

Experimental

anal dilation, colonic lavage, oral probiotic

干预措施: colonic lavage (Behavioral)

conservative treatment

Experimental

anal dilation, colonic lavage, oral probiotic

干预措施: oral probiotic (Drug)

结局指标

主要结局

the change of defecation frequence

时间窗: 6~12 months

the changes of defecation frequence at 6\~12 months after treatment

次要结局

  • stool pattern(6~12 months)
  • controlling defecation ability(6~12 months)
  • complications(6~12 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Jiexiong Feng

professor

Tongji Hospital

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