自适应生物反馈联合腹式呼吸治疗出口梗阻型便秘的疗效  

Efficacy of adaptive biofeedback training combined with abdominal breathing in treatment of outlet obstructive constipation

作　　者：吴德卫 刘杰 韦瑞玲 吕超蓝 董娟 余跃 WU Dewei;LIU Jie;WEI Ruiling(Department of Gastroenterology,Affiliated Provincial Hospital of Anhui Medical University,Hefei 230001,China)

机构地区：[1]安徽医科大学附属省立医院消化内科,合肥230001

出　　处：《安徽医学》2021年第9期966-970,共5页Anhui Medical Journal

基　　金：安徽省对外科技合作计划项目(项目编号:1604b0602021)。

摘　　要：目的探讨自适应生物反馈训练(ABT)联合腹式呼吸(AB)治疗出口梗阻型便秘(OOC)的疗效。方法选取2018年1月至2020年5月在安徽医科大学附属省立医院就诊的46例OOC患者,采用随机数字表法,分为ABT组与ABT+AB组,每组23例。比较两组患者治疗前后肛门直肠测压、症状评分、生活质量评分及焦虑抑郁评分的差异。结果ABT+AB组患者治疗前后便秘症状评分、汉密尔顿焦虑量表评分和汉密尔顿抑郁量表评分差值分别为(6.91±1.16)、(5.91±1.54)和(5.30±2.36)分,均高于ABT组,差异均有统计学意义(P<0.05)。结论ABT+AB可以改善OOC患者的便秘症状和生活质量,缓解患者焦虑抑郁情绪。Objective To investigate the effect of adaptive biofeedback training(ABT)combined with abdominal breathing(AB)in patients with outlet obstructive constipation(OOC).Methods The 46 participants with OOC diagnosed in Anhui Provincial Hospital from January 2018 to May 2020 were randomly divided into two groups:ABT group(n=23)and ABT+AB group(n=23).Anorectal dynamics,Assessment of Constipation-Symptom,Assessment of Constipation-Quality of Life,Hamilton Rating Scale for Anxiety and Hamilton Rating Scale for Depression were collected at baseline and compared before and after treatment.Results The differences in PAC-SYM scores,HAMA scores and HAMD scores before and after treatment[(6.91±1.16),(5.91±1.54),(5.30±2.36),respectively]were significantly higher in ABT+AB group than those in ABT group(all P<0.05).Conclusions ABT combined with AB can achieve better improvement in the symptoms and quality of life,thereby relieving their anxiety and depression more efficiently in patients with OOC.

关 键 词：出口梗阻型便秘 自适应生物反馈训练 腹式呼吸 

分 类 号：R574.62[医药卫生—消化系统]