盆底表面肌电生物反馈疗法治疗功能性便秘的临床效果评估  

Clinical Effect Evaluation of Pelvic Floor Electromyography Biofeedback Therapy for Functional Constipation

作　　者：陈峰[1] 黄如华[1] 郑玉金[1] 邓正明[1] 

机构地区：[1]福建医科大学附属福州市第一医院,福建福州350009

出　　处：《中国肛肠病杂志》2016年第11期49-51,共3页Chinese Journal of Coloproctology

基　　金：福建医科大学非直属附属医院科学研究专项基金项目编号（FZS13006Y）

摘　　要：为探讨盆底表面肌电生物反馈疗法治疗功能性便秘的临床效果，对符合纳入标准的120例功能性便秘患者给予盆底表面肌电生物反馈疗法治疗，每次30min，每周2次，10次为1个疗程，2个疗程后行凯格尔盆底肌肉家庭锻炼，治疗1个月后从临床症状、生活质量及盆底表面肌电Glazer评估方面评价疗效。结果显示，本组16例患者因未能坚持治疗退出试验，最终104例纳入统计。104例患者中，显效4例，有效45例，无效55例，总有效率为47．12％（49／104）。与治疗前相比，治疗后排便不尽感、排便费力、排便时间方面评分及症状总积分均明显降低，P〈0．01；排便次数、大便性状方面评分无明显变化，P〉0．05。治疗后患者生活质量各因子评分及总评分均明显降低，P〈0．01。盆底表面肌电Glazer评估发现，治疗前后前基线平均波幅、最大收缩力、平均收缩力及变异系数差异有统计学意义，P〈0．01或P〈0．05；10S放松、休息放松及后基线平均波幅比较差异无统计学意义，P〉0．05。结果表明，盆底表面肌电生物反馈可以显著改善功能性便秘患者的临床症状、心理状态及患者盆底肌的收缩功能。In order to explore the clinical effect of pelvic floor electromyography（EMG） biofeedback thera- py in the treatment of functional constipation, 120 patients conformed to inclusive criteria with functional constipation were treated with pelvic floor EMG biofeedback therapy for 30 min,2 times a week, 10 times as a course of treatment;after 2 courses performed Kegel pelvic floor muscle home exercise;after 1 month of treatment evaluated the efficacy from the clinical symptoms, quality of life and pelvic floor surface elec- tromyography Glazer assessment.As results, because of failure to adhere to treatment 16 patients in this group were quit the test;Finally, 104 cases were included in the statistics.In the 104 patients,4 were excel- lent,45 were effective,55 ineffective;the total effective rate was 47.12% （49/104）.The scores on unfin- ished defecation feeling, defecation difficulties, defecation time and their whole scores after treatment were all significantly lower than those before treatment （ P 〈0.01）.But there were no obvious changes in defe- cation frequency and stool quality （ P 〉 0.05）.After treatment,the score on quality of life factor and the total score were significantly decreased （ P 〈0.01）. The pelvic floor surface electromyography Glazer as- sessment found there was statistical significance in the mean baseline amplitude, maximal contraction force,mean contraction force and coefficient of variation before and after treatment （ P 〈0.01 or P〈 0.05） ;in 10 s relaxation,rest relaxation and the mean baseline amplitude there was no statistically signifi- cance（ P 〉0.05）.The results show that the pelvic floor EMG biofeedback can significantly improve the clinical symptoms, psychological state and pelvic floor muscle contraction of patients with functional con- stipation.

关 键 词：功能性便秘 盆底表面肌电 生物反馈疗法 临床症状 生活质量 Glazer评估 

分 类 号：R544.1[医药卫生—心血管疾病]