电刺激生物反馈干预结合康复护理在先天性巨结肠术后肛门失禁患儿中的应用  

Application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence after operation of hirschsprung’s disease

作　　者：孙瑛[1] 尹强[1] 唐倩 刘琴[1] 万四红[1] 彭霞[1] SUN Ying;YIN Qiang;TANG Qian;LIU Qin;WAN Sihong;PENG Xia(The First Department of General Surgery,Hu’nan Children’s Hospital,Hu’nan Province,Changsha 410007,China)

机构地区：[1]湖南省儿童医院普外一科,湖南长沙410007

出　　处：《中国医药导报》2021年第21期173-176,共4页China Medical Herald

摘　　要：目的探讨电刺激生物反馈干预结合康复护理在先天性巨结肠(HD)术后肛门失禁(FI)患儿中的应用。方法选择某三甲儿童医院2017年12月至2019年12月收治的85例HD患儿作为研究对象,按随机数字表法分为对照组43例和观察组42例。两组均实施常规干预,在此基础上,对照组实施电刺激生物反馈干预,观察组在对照组基础上增加康复护理,连续干预5周后评价干预效果,包括监测直肠感觉阈值、肛门直肠动力学。结果两组干预前初始感觉容量、排便感觉容量及最强便意容量比较,差异无统计学意义(P>0.05);两组干预5周后初始感觉容量、排便感觉容量及最强便意容量均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组干预前肛管最大收缩压、最长收缩时间及肛管静息压比较,差异无统计学意义(P>0.05);两组患儿干预5周后肛管最大收缩压、最长收缩时间及肛管静息压均较干预前升高,且观察组均高于对照组,差异有统计学意义(P<0.05)。结论HD术后FI患儿接受电刺激生物反馈干预结合康复护理获益较为理想,直肠感觉阈值及肛门直肠动力学改善。Objective To explore the application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence(FI)after operation of hirschsprung’s disease(HD).Methods Atotal of 85 childrens with HD treated in a Three Grade A Class Children’s Hospital from December 2017 to December 2019 were selected as the research subjects,divided them by random number table method into control group 43 cases and observation group 42 cases.Both groups were given routine intervention,on this basis,the control group was received electrical stimulation biofeedback intervention,the observation group was given rehabilitation nursing on the basis of the control group,the intervention effect was evaluated after continuous intervention for five weeks,including monitoring rectal sensory threshold,anorectal dynamics.Results The initial sensory capacity,defecation sensory capacity and the strongest defecation capacity were compared of children in both groups before intervention,there were no statistical significant differences(P>0.05);after five weeks of intervention,the initial sensory capacity,defecation sensory capacity and the strongest defecation capacity of children in both groups were higher than those before intervention,and the observation group was higher than the control group,and there were statistical significant differences(P<0.05);the maximum systolic pressure,the longest systolic time and the resting pressure of anal canal were compared of children in two groups before intervention,there were no statistical significant differences(P>0.05);after five weeks of intervention,the maximum systolic pressure,the longest systolic time and the resting pressure of anal canal of children in groups were higher than those before intervention,and the observation group was higher than the control group,and there were statistical significant differences(P<0.05).Conclusion Children with FI after operation of HD receiving electrical stimulation biofeedback intervention combined with rehab

关 键 词：先天性巨结肠 肛门失禁 电刺激 生物反馈 直肠感觉 

分 类 号：R473[医药卫生—护理学]