针刺联合生物反馈治疗功能性肛门直肠痛疗效分析  

Efficacy analysis of acupuncture with biofeedback in the treatment of patients with functional anorectal pain

作　　者：郑玲[1] 丁曙晴[2] 丁义江[2] 薛雅红[2] 周惠芬[2] 李敏[2] 曹建葆[2] 王静[2] 

机构地区：[1]南京中医药大学中医外科学(肛肠方向),210029 [2]南京中医药大学第三附属医院全国中医肛肠医疗中心,210001

出　　处：《中华胃肠外科杂志》2016年第12期1375-1378,共4页Chinese Journal of Gastrointestinal Surgery

基　　金：国家中医药管理局丁义江名老中医传承工作室项目（2100409）

摘　　要：目的 观察针刺联合生物反馈治疗功能性肛门直肠痛患者的近、远期疗效。方法 回顾性分析2010年8月至2015年11月间在南京中医药大学第三附属医院接受针刺联合生物反馈治疗的142例符合功能性胃肠疾病罗马Ⅲ中功能性肛门直肠痛诊断标准患者的临床资料。采用电话和门诊复查形式进行标准化随访，对患者进行疼痛视觉模拟评分（VAS，0 ~ 10分）和简明汉化版健康调查简表（SF-36，0 ~ 148分），并对患者治疗结束时（近期）和随访期间（远期）的总满意度及总体有效率（VAS评分下降≥30%）进行评价。结果 全组142例患者中101例（71.1%）在随访中获得有效问卷，随访时间3 ~ 67（中位数28）月。101例患者治疗前、治疗结束时和随访期间VAS评分分别为6.09 ± 1.78、1.99 ± 1.89和3.55 ± 2.60，尽管随访期间VAS评分较治疗结束时有所增高，但优于治疗前水平（P 〈 0.05）。31例患者SF-36量表评分分别为82.0 ± 16.9、94.0 ± 15.1和88.1 ± 15.3，随访期间生活质量评分较治疗结束时有所下降，但亦优于治疗前水平（P 〈 0.05）。针刺联合生物反馈治疗的近期总有效率为85.9%（122/142），远期为75.2%（76/101）。患者近、远期总满意率分别为92.3%（131/142）和84.2%（85/101）。结论 针刺联合生物反馈治疗功能性肛门直肠痛疗效显著，患者满意度高。Objective To observe the short- and long-term efficacy of acupuncture combined with biofeedback in the treatment of functional anorectal pain （FARP） .Methods Clinical data of 142 patients who met the functional gastrointestinal disorders and functional anorectal pain based on criteria of Rome Ⅲ undergoing acupuncture with biofeedback therapy from August 2010 to November 2015 in Pelvic Floor Center of The Third Affiliated Hospital of Nanjing University of Chinese Medicine were retrospectively analyzed. Telephone and outpatient clinic recheck were used as standard follow-up. The clinical effect of short-term and long-term data collected from the disease-based database was evaluated with visual analogue pain scale （VAS） （0 - 10 points） , short form health survey questionnaire （SF-36） （0 - 148 points） . The overall satisfaction and effectiveness （VAS was 〉30%） were evaluated at the end of treatment （short-term） and during follow-up （long-term） .Results The effective follow-up data were obtained from 71.1% （101/142） of patients and the median follow-up time was 28 （3 - 67） months. The VAS of 101 cases was 6.09 ± 1.78, 1.99 ± 1.89 and 3.55 ± 2.60 before treatment, at the end of treatment and during follow-up respectively. Though the VAS during follow-up was higher than that at the end of treatment, but still significantly lower than that before treatment （P 〈 0.05） . The SF-36 score of 31 patients was 82.0 ± 16.9, 94.0 ± 15.1 and 88.1 ± 15.3 before treatment, at the end of treatment and during follow-up respectively. Though the SF-36 score during follow-up was lower compared to at the end of treatment, but still significantly higher compared to before treatment （P 〈 0.05） . The effective rates were 85.9% （122/142） at the end of treatment and 75.2% （76/101） during follow-up, and the satisfactory rates were 92.3% （131/142） and 84.2% （85/101） , respectively.Conclusion Acupuncture with biofeedback has significant short-term and long-term efficacy

关 键 词：功能性肛门直肠痛 针刺疗法 生物反馈 治疗效果 

分 类 号：R246.1[医药卫生—针灸推拿学]