功能性磁刺激治疗功能性肛门直肠疼痛的短期疗效观察  

Short-term efficacy of functional magnetic stimulation for treating functional anorectal pain

作　　者：罗玲花 王淼兰 李丽[1] 叶新梅[2] 任东林[1] Luo Linghua;Wang Miaolan;Li Li;Ye Xinmei;Ren Donglin(Department of Anorectal Surgery,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,Guangdong,China;Department of Nursing,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,Guangdong,China)

机构地区：[1]中山大学附属第六医院肛肠外科,广东广州510655 [2]中山大学附属第六医院护理部,广东广州510655

出　　处：《结直肠肛门外科》2022年第6期568-571,共4页Journal of Colorectal & Anal Surgery

摘　　要：目的 观察功能性磁刺激(FMS)治疗功能性肛门直肠疼痛(FAP)的短期疗效。方法 回顾性分析中山大学附属第六医院肛肠外科—盆底治疗专科于2019年7月至2022年7月期间采用FMS治疗的16例FAP患者的临床资料。分别于治疗前、治疗10次后、治疗10次后3个月采用疼痛视觉模拟评分(VAS评分)评估患者的肛门疼痛程度;于治疗10次后、治疗10次后3个月评估疗效。结果 单因素重复测量方差分析结果显示,患者治疗前后的VAS评分比较差异有统计学意义(P<0.05),治疗10次后与治疗10次后3个月的VAS评分均低于治疗前,差异有统计学意义(均P<0.05),治疗10次后与治疗10次后3个月的VAS评分比较差异无统计学意义(P>0.05)。FAP患者进行10次FMS治疗后,基本治愈2例,显效5例,有效4例,无效5例,总有效例数11例(11/16);FMS治疗10次后3个月,基本治愈3例,显效5例,有效1例,无效7例,总有效例数9例(9/16)。结论 FMS治疗FAP能有效改善患者的肛门疼痛程度,短期疗效良好。Objectives To investigate the short-term efficacy of functional magnetic stimulation(FMS) for treating functional anorectal pain(FAP). Methods This was a retrospective analysis of 16 patients with FAP treated with FMS between July 2019and July 2022 at the Pelvic Floor Treatment Specialty, Department of Anorectal Surgery, the Sixth Affiliated Hospital of Sun Yatsen University. Anal pain was assessed using the visual analogue scale(VAS) before treatment, after 10th treatments, and 3months after the 10th treatment. Clinical effectiveness was assessed after 10th treatments and 3 months after the 10th treatment.Results One-way repeated measures analysis showed significant difference between VAS scores before and after treatment(P<0.05);VAS scores after 10th treatments and 3 months after the 10th treatment were significantly lower than the scores before treatment(P<0.05), while VAS scores after 10th treatments and scores 3 months after the 10th treatment did not differ significantly(P>0.05).After 10th treatments, two patients were deemed generally cured, and FMS was deemed highly effective in five patients, effective in four patients, and ineffective in five patients;the overall effectiveness rate(including “effective”, “highly effective”, and“cured”) was 11 out of 16 patients. Three months after the 10th treatment, three patients were generally cured, and FMS was deemed highly effective in five patients, effective in one patient, and ineffective in seven patients;the overall effectiveness rate was 9 out of 16 patients. Conclusion FMS can effectively alleviate anal pain in patients with FAP. It has satisfactory shortterm effectiveness.

关 键 词：功能性肛门直肠疼痛 功能性磁刺激 短期疗效 

分 类 号：R657.1[医药卫生—外科学]