挂线疗法对高位复杂性肛瘘盆底肌电参数和肛管直肠测压数据的影响  

Effects of TCM Thread-Drawing Therapy on Pelvic Floor Electromyography Parameters and Anorectal Manometry Data in Patients with High Complex Anal Fistula

作　　者：高献明[1] 吴才贤 黄璇[1] 张岱虎 高海花 叶玲[1] GAO Xianming;WU Caixian;HUANG Xuan;ZHANG Daihu;GAO Haihua;YE Ling(The Second Affiliated Hospital of Fujian Traditional Chinese Medicine University,Fuzhou 350003,Fujian,China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003

出　　处：《辽宁中医杂志》2021年第4期86-88,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：福建省自然科学基金(2018J01318)。

摘　　要：目的探讨中医挂线疗法对高位复杂性肛瘘患者盆底肌电参数和肛管直肠测压数据的影响。方法纳入2018年4月—2019年12月间收治的30例高位复杂性肛瘘患者作为研究对象,并纳入同期体检健康者10例作为对照组。肛瘘患者均予以中医挂线疗法,对照组不予以干预措施。治疗前、治疗1月、治疗3月后,评估两组盆底肌电参数(波幅、中值频率、变异系数、收缩反应时间)、3D肛管直肠测压情况(肛管静息压、肛管收缩压、肛管排便压)。结果①对照组与观察组治疗前前基线肌电波幅、持续收缩中值频率、持续收缩肌电变异系数、快速收缩反应时间对比差异均无统计学意义(P>0.05);治疗前、治疗1个月及3个月后,观察组前基线肌电波幅、持续收缩中值频率、持续收缩肌电变异系数、快速收缩反应时间对比差异均无统计学意义(P>0.05);②观察组治疗前与对照组肛管静息压、收缩压、排便压对比差异均无统计学意义(P>0.05),治疗前、治疗1个月及3个月后观察组患者肛管静息压、收缩压、排便压对比,差异有统计学意义(P<0.05),但排便压比较差异无统计学意义(P>0.05)。结论中医挂线疗法治疗高位复杂性肛瘘效果良好,但对患者肛管直肠测压仍有一定影响。Objective To explore the effects of TCM thread-drawing therapy on pelvic floor electromyography parameters and anorectal manometry data in patients with high complex anal fistula.Methods Thirty patients with high complex anal fistula admitted between April 2018 and December 2019 were included as the study subjects,and 10 healthy persons with physical examination during the same period were included as control group.All patients with anal fistula were given TCM therapy,but the control group was not given any intervention measures.Before and after 1 and 3 months of treatment,the pelvic floor electromyography parameters(amplitude,median frequency,coefficient of variation,contraction reaction time)and 3D anorectal manometry(anal canal rest pressure,anal canal systolic blood pressure,anal canal defecation pressure)were evaluated in the two groups.Results①There were no significant differences in the baseline electromyography amplitude,median frequency of continuous contraction,coefficient of variation of continuous contraction myoelectricity or rapid contraction response time between control group and observation group before treatment(P>0.05).Before and after 1 and 3 months of treatment,there were no significant differences in the baseline electromyography amplitude,median frequency of continuous contraction,coefficient of variation of continuous contraction myoelectricity or rapid contraction response time in observation group(P>0.05).②There were no statistically significant differences in anal canal rest pressure,systolic blood pressure ordefecation pressure between observation group and control group before treatment(P>0.05).Before and after 1 and 3 months of treatment,there were statistically significant differences in the anal canal rest pressure,systolic blood pressure and defecation pressure in the observation group(P<0.05),but the difference in defecation pressure was not statistically significant(P>0.05).Conclusion TCM thread-drawing therapy has a good effect on high complex anal fistula,and has a certain

关 键 词：高位复杂性肛瘘 中医挂线疗法 盆底肌电参数 肛管直肠测压 

分 类 号：R657.16[医药卫生—外科学]