生物反馈联合Kegel训练对低位直肠前切除术后患者直肠功能恢复的效果  

Effect of Biofeedback Combined with Kegel Training on Rectal Function Recovery in Patients after Low Anterior Rectal Resection

作　　者：时依 宋国磊[1] 姜从桥[1] SHI Yi;SONG Guolei;JIANG Congqiao(The First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China;不详)

机构地区：[1]蚌埠医学院第一附属医院,安徽蚌埠233000

出　　处：《中国医学创新》2023年第25期172-176,共5页Medical Innovation of China

基　　金：蚌埠医学院自然科学重点项目(2021byzd145)。

摘　　要：目的:研究生物反馈联合Kegel训练对低位直肠前切除术后患者直肠功能恢复的效果。方法:选取2022年1—7月蚌埠医学院第一附属医院收治的直肠癌患者60例,按照随机数字表法将其分为对照组(30例)和研究组(30例)。两组均行低位直肠前切除术(LAR)。对照组术后予以Kegel训练,研究组术后在此基础上予以生物反馈训练。观察两组治疗前后肛门直肠测压、盆底肌电指标、排便功能。结果:治疗后,研究组的肛管静息压、肛管最大收缩压、直肠初始阈值、直肠便意感觉阈值、直肠最大耐受量均高于对照组,直肠静息压低于对照组(P<0.05);研究组的运动单位动作电位(MUAP)时程、MUAP波幅均长于对照组(P<0.05);研究组的低位前切除综合征(LARS)评分低于对照组(P<0.05)。结论:生物反馈联合Kegel训练应用于LAR术后患者,可促进肛门直肠解剖结构恢复,改善盆底肌电生理指标,改善排便功能。Objective:To investigate the effect of biofeedback combined with Kegel training on rectal function recovery in patients after low anterior rectal resection.Method:A total of 60 rectal cancer patients of the First Affiliated Hospital of Bengbu Medical College from January to July 2022 were selected and divided into the control group(30 cases)and the study group(30 cases)according to the random number table method.Low anterior rectal resection(LAR)was performed in both groups.The control group was given Kegel training after surgery,and the study group was given biofeedback training on this basis after surgery.The anorectal manometry,pelvic floor muscle electrophysiological index,and defecation function of the two groups were observed before and after treatment.Result:After treatment,the anal resting pressure,anal maximum systolic pressure,rectal initial threshold,rectal defecation sensation threshold,and rectal maximum tolerance in the study group were higher than those in the control group,and the rectal resting pressure was lower than those in the control group(P<0.05),the motor unit action potential(MUAP)time history and MUAP amplitude in the study group were longer than those in the control group(P<0.05),the low anterior resection syndrome(LARS)score in the study group was lower than that in the control group(P<0.05).Conclusion:Biofeedback combined with Kegel training can promote the recovery of anorectal anatomy,improve pelvic floor muscle electrophysiological indexes,and improve defecation function in patients after LAR.

关 键 词：生物反馈 Kegel 训练 低位直肠前切除术 直肠功能 

分 类 号：R735.37[医药卫生—肿瘤]