多模式生物反馈治疗慢性特发性便秘的临床观察  

Clinical Trial on Diversified Biofeedback Therapy for Chronic Idopathic Constipation

作　　者：李爱萍[1] 戴林[1] 王永慧[1] 

机构地区：[1]解放军第210医院消化内科,辽宁大连116021

出　　处：《临床军医杂志》2009年第6期1024-1026,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨多模式生物反馈疗法治疗慢性特发性便秘(C IC)的疗效及作用机制。方法采用多模式生物反馈疗法,对90例C IC患者进行生物反馈治疗,包括盆底肌放松训练、肛门直肠协调性训练,直肠敏感性反馈训练。观察治疗前后C IC病人临床症状、肛门直肠压力、直肠敏感性、心理测试的变化。结果生物反馈治疗后临床症状评分明显降低(P<0.05);肛管静息压、肛门括约肌最大缩榨压较治疗前明显增高,模拟排便动作时肛门括约肌的剩余压明显降低(P<0.05;P<0.001;P<0.001);直肠的初始感觉阈值、排便感阈值较治疗前明显降低(P<0.001);治疗后抑郁、焦虑分值较治疗前明显降低(P<0.001)。结论生物反馈治疗可以改变肛门直肠动力学参数及心理异常,恢复排便的生理功能,是治疗特发性功能性便秘的有效方法。Objective To investigate the therapeutic effect and mechanism of diversified biofeedback therapy in treatment of chronic idopathic constipation（CIC）.Methods Study was performed in 90 patients of CIC treated with relaxation exercises,anorectal coordination and conditioning of rectal sensation.The scores of clinical symptoms,anorectal pressure,rectal sensitivity and psychological test were analyzed before and after treatment.Results After treatment,the score of clinical symptoms was significantly lower（P〈0.05）,and the anal resting pressure,maximal squeezing pressure were significantly higher（P〈0.05,P〈0.01）.During simulated defecation,anal residual pressure was signifacantly lower（P〈0.001）.The thresholds for first sensation and desire to defecate were decreased significantly（P〈0.001,P〈0.001）.The scores of anxiety and depression were significantly lower（P〈0.01,P〈0.01）.Conclusion It is suggested that biofeedback therapy is effective for it can adjust abnormal anorectal dynamics,improve abnormal psychology and restore physiological defecation.

关 键 词：便秘 生物反馈 肛门直肠测压 

分 类 号：R574.62[医药卫生—消化系统]