补气活血法联合生物反馈治疗排便推力不足型功能性排便障碍的疗效评价  

Clinical Effect of Qi-tonifying and Blood-activating Therapy Combined with Biofeedback Therapy on Functional Defecation Disorders with Inadequate Defecatory Propulsion

作　　者：侯江涛[1] 金燕[1] 曹金仪 陈昫[1] 赵利娜[1] 卜海玲[1] 陶双友[3] 陈斌[1] HOU Jiang-Tao;JIN Yan;CAO Jin-Yi;CHEN Xu;ZHAO Li-Na;BU Hai-Ling;TAO Shuang-You;CHEN Bin(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The Second People's Hospital of Baiyun District,Guangzhou 510450 Guangdong,China;Guangzhou University of Chinese Medicine,Guangzhon 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405 [2]广州市白云区第二人民医院,广东广州510450 [3]广州中医药大学,广东广州510405

出　　处：《广州中医药大学学报》2019年第2期171-176,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(编号:81503532);广东省自然科学基金面上资助项目(编号:2015A030313360);广东省中医药局科研项目(编号:20152122);广州中医药大学第一附属医院"创新强院"项目(编号:2016JY02)

摘　　要：【目的】评价补气活血法联合生物反馈治疗排便推力不足型功能性排便障碍(FDD-IDP)的疗效。【方法】将41例FDDIDP患者随机分为治疗组20例和对照组21例,对照组给予生物反馈治疗,治疗组给予补气活血法联合生物反馈治疗,疗程均为20 d。比较2组患者治疗前后症状评分、便秘结局量表(PRO)评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、便秘生活质量量表(PAC-QOL)评分、肛门直肠测压和盆底肌电测量结果,并评价2组疗效。【结果】(1)治疗20 d后,治疗组的总有效率为85.00%,对照组为52.38%,治疗组的疗效明显优于对照组(P<0.05)。(2)与治疗前相比较,对照组和治疗组在治疗后患者的症状评分、PRO评分、SAS和SDS评分、PAC-QOL评分、肛门直肠测压和盆底肌电测量结果等均得到改善(P<0.05或P<0.01),且治疗组治疗后对上述指标的改善作用均明显优于对照组,差异均有统计学意义(P<0.05或P<0.01)。【结论】生物反馈治疗对FDD-IDP具有较好疗效,补气活血法联合生物反馈治疗的疗效优于单纯生物反馈治疗。Objective To evaluate the clinical effect of Qi-tonifying and blood-activating therapy combined with biofeedback therapy on functional defecation disorders(FDD)with inadequate defecatory propulsion(IDP).Methods Forty-one cases of FDD-IDP patients were randomly divided into treatment group(n=20)and control group(n=21).The control group was given biofeedback therapy,and the treatment group was given Qi-tonifying and blood-activating therapy combined with biofeedback therapy,the treatment covering 20 d.Before and after treatment,the scores of symptoms,patient-reported outcomes(PRO),Self-rating Anxiety Scale(SAS),Selfrating Depression Scale(SDS)and Patient Assessment of Constipation Quality of Life(PAC-QOL)as well as the parameters of anorectal manometry and pelvic floor electrophysiological measurement in the two groups were detected.And after treatment,the therapeutic effect of the two groups was evaluated.Results(1)After treatment for 20 d,the total effective rate of the treatment group(85.00%)was higher than that of the control group(52.38%),and the difference was statistically significant(P<0.05).(2)Compared with those before treatment,the scores of symptoms,PRO,SAS,SDS and PAC-QOL as well as the parameters of anorectal manometry and pelvic floor electrophysiological measurement in the two groups were improved after treatment(P<0.05 or P<0.01),and the improvement in the treatment group was superior to that in the control group,the difference being statistically significant(P<0.05 or P<0.01).Conclusion Biofeedback therapy has a good effect on FDD-IDP,and its combination with Qi-tonifying and blood-activating therapy can enhance the therapeutic effect.

关 键 词：排便推力不足型功能性排便障碍 生物反馈治疗 补气活血法 疗效评价 

分 类 号：R256.35[医药卫生—中医内科学]