球囊训练联合中药保留灌肠加持慢传输型便秘患者症状改善  

Symptoms of patients with slow transit constipation by balloon training combined with traditional Chinese medicine retention enema

作　　者：余文娟 居伟[1] YU Wenjuan;JU Wei(Department of Gastroenterology,People s Hospital of Suzhou High Tech Zone,Suzhou 215000,China)

机构地区：[1]苏州高新区人民医院消化科,江苏苏州215000

出　　处：《医药高职教育与现代护理》2023年第1期40-43,共4页Medical Higher Vocational Education and Modern Nursing

基　　金：苏州市卫健委科研课题(SYSD2019231)。

摘　　要：目的 观察球囊训练联合中药保留灌肠对慢传输型便秘(STC)患者高分辨肛门直肠测压指标及生活质量的影响。方法 将苏州高新区人民医院消化科2020年6月至2021年10月收治的STC患者随机分为联合组和对照组,对照组采用中药保留灌肠,联合组在对照组基础上加用球囊训练。比较两组患者便秘症状及疗效评估表(排便困难程度、排便时间、粪便性状、排便频率、腹胀感、其他不适)评分、高分辨肛门直肠测压指标(肛管静息压、初始便意阈值、最大容量感觉阈值)、便秘患者生活质量量表(PAC-QOL)以及肌电图均方根值(RMS)和积分肌电值(iEMG)。结果 干预前,两组患者上述指标比较差异无统计学意义(P>0.05)。干预后2周,与对照组比较,联合组患者在便秘症状及疗效评估表中的排便困难程度、排便时间、排便频率、腹胀感四项评分更低(P<0.05),在肛门直肠测压指标中的初始便意阈值、最大容量感觉阈值以及PAC-QOL评分也降低更明显(P<0.05),而RMS、iEMG值明显增高(P<0.05)。结论 球囊训练联合中药保留灌肠可以明显改善慢传输型便秘患者便秘症状和肠道功能指标,提高盆底肌群肌力和生活质量。Objective To observe the effect of balloon training combined with retention enema of traditional Chinese medicine on high-resolution anorectal manometry and quality of life in patients with slow transit constipation(STC). Methods STC patients admitted to the gastroenterology department of Suzhou High Tech Zone People’s Hospital from June 2020 to October 2021 were randomly divided into the combined group and the control group. The control group was treated with retention enema with Chinese medicine, and the combined group was treated with balloon training on the basis of the control group. The constipation symptoms and scores in the efficacy evaluation table(degree of defecation difficulty, defecation time, stool characteristics, defecation frequency, abdominal distension, and other discomfort), high-resolution anorectal manometry(anal canal resting pressure, initial defecation threshold, maximum volume sensation threshold), quality of life scale for constipated patients(PAC-QOL), root mean square value(RMS) and integrated electromyography(iEMG) were compared. Results There was no significant difference between the two groups before intervention(P>0.05). Two weeks after the intervention, the scores in the constipation symptoms and efficacy evaluation table, including the degree of defecation difficulty, defecation time, defecation frequency and abdominal distension were lower in the combined group than those in the control group(P<0.05). In anorectal manometry, the threshold of initial defecation and the threshold of maximum volume sensation and the scores of PAC-QOL were lower in the combined group than those in the control group(P<0.05). However, RMS and iEMG of the combined group were higher than those in the control group(P<0.05). Conclusions Balloon training combined with traditional Chinese medicine retention enema can significantly improve the constipation symptoms and intestinal function indicators of patients with slow transit constipation, and improve the muscle strength and quality of life of pelvic f

关 键 词：球囊训练 中药保留灌肠 慢传输型便秘 高分辨肛门直肠测压 疗效 

分 类 号：R473.5[医药卫生—护理学]