生物反馈治疗盆底失弛缓性便秘的临床疗效分析  

Clinical effects of biofeedback therapy on functional constipation caused by pelvic floor dys-synergia

作　　者：金捷 朱丽明 朱方超 胡向跃 

机构地区：[1]温州市中心医院消化内科,温州325000

出　　处：《中华物理医学与康复杂志》2015年第2期128-130,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：浙江省温州市科技计划项目（Y20130051）

摘　　要：目的观察生物反馈疗法（BF）治疗盆底失弛缓（PFD）性便秘的临床疗效。方法选取符合罗马Ⅲ功能性排便障碍的PFD患者40例并给予生物反馈治疗，每周治疗2次，共治疗5周。比较治疗前、后患者临床便秘症状积分和肛门直肠动力学参数，并对患者临床疗效进行评定。结果人选患者治疗后总有效率为80％；其临床便秘症状积分[（2．86±2．67）分]较治疗前[（10．38±2．43）分]显著下降（P〈0．05）；治疗后力排时肛管残余压力[（56．06±38．31）mmHg]较治疗前[（104．00±29．52）mmHg]明显下降（P〈0．05）；力排时直肠肛管压力梯度值[（3．15±48．50）mmHg]较治疗前[（－52．27±33．81）mmHg]显著上升（P〈0．05）。结论生物反馈治疗能显著改善PFD便秘患者临床症状，提高排便时盆底肌协调性，该疗法值得临床推广、应用。Objective To explore the clinical effects of biofeedback （BF） therapy on functional constipation （FC） caused by pelvic floor dys-synergia （PFD）. Methods Forty patients with FC caused by PFD were enrolled and given BF therapy twice a week for 5 weeks. Constipation symptom scores and anal motility were recorded before and after the therapy. Results All the patients enrolled finished the BF therapy, with a total effectiveness rate of 80%. Both the constipation symptom scores and anal residual pressure during defecation had decreased significantly after ther- apy. Rectal gradient pressure, however, had increased significantly. Conclusion Biofeedback can relieve the clini- cal symptoms of FC and improve pelvic floor coordination during defecation. It is worth applying in clinical practice.

关 键 词：生物反馈 盆底失弛缓性便秘 便秘症状积分 肛门直肠动力 

分 类 号：R574.62[医药卫生—消化系统]