和营通络法联合生物反馈治疗盆底失弛缓所致便秘疗效评价  

Effect of Heying Tongluo Method Combined with Biofeedback on Constipation of Achalasia Pelvic Floor Syndrome

作　　者：董青军[1] 梁宏涛[1] 姚一博[1] 王琛[1] 易进[1] 曹永清[1] 陆金根[1] DONG Qingjun;LIANG Hongtao;YAO Yibo;WANG Chen;YI Jin;CAO Yongqing;LU Jingen(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, Chin)

机构地区：[1]上海中医药大学附属龙华医院

出　　处：《辽宁中医药大学学报》2018年第6期79-81,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81503577);“十二五”国家科技支撑计划项目(2015BAI04B01);上海市卫生和计划生育委员会中医药科研基金项目(2014LP087A);上海市中医临床基地建设项目(ZY3-LCPT-1-1002);海派中医流派(顾氏外科)传承研究基地建设项目(ZY3-CCCX-1-1004)

摘　　要：目的：观察和营通络法联合生物反馈治疗盆底失弛缓所致便秘的疗效。方法：72例盆底失弛缓所致便秘的患者随机分为试验组和对照组,各36例,分别采用和营通络法联合生物反馈和单纯生物反馈干预,共4个疗程,比较两组临床疗效、便秘症状、生存质量及复发率等指标。结果：试验组粪便性状、排便费力、腹胀、尾骶酸胀、胁肋胀满、舌苔、生存质量优于对照组（P〈0.05）,但排便时间、排便频率、排便不尽感比较,两组无统计学差异（P〉0.05）。结论：和营通络法联合生物反馈治疗盆底失弛缓所致便秘,通过和营通络和肛门的康复训练,协调盆底肌群的舒缩功能,从而缓解全身的气滞血瘀状态,改善便秘症状,提高生存质量,降低复发率。Objective：To observe the effect of Heying Tongluo method combined with biofeedback on constipation of achalasia pelvic floor syndrome. Methods：There were seventy two APFS patients that were divided into treatment group and control gourp,treatment group was treated by Heying Tongluo method herb and biofeedback,control group was treated by biofeedback,all the patients were treated twenty eight days. Compared to clinical effect,recurrence rate,quality of life,relative syndromes in two groups. Results：Compared to control group,there had significant differences in fecal character,defecation difficulty,abdominal distension,sacral acid swollen,tongue coating,quality of life between the two groups（P〈0.05）,but there was not significant difference in defecation frequency,defecation time,feeling of incomplete evacuation between two groups（P〉0.05）. Conclusion：According to effect of Heying Tongluo method and anal rehabilitation training,Heying Tongluo method and biofeedback can coordinate with function of pelvic floor muscle＇s relaxation and contraction,alleviate Qi stagnation and blood stasis,remit constipation syndrome,improve quality of life and decrease recurrence rate.

关 键 词：便秘 盆底失弛缓 和营通络法 生物反馈 

分 类 号：R574.62[医药卫生—消化系统]