生物反馈电刺激治疗功能性便秘的效果探讨  

Effect of biofeedback electrical stimulation in the treatment of functional constipation

作　　者：姚思杰 YAO Si-jie(Department of Proctology,Pengzhou Hospital of Traditional Chinese Medicine,Chengdu 611930,China)

机构地区：[1]彭州市中医医院肛肠科,611930

出　　处：《中国现代药物应用》2023年第24期26-30,共5页Chinese Journal of Modern Drug Application

基　　金：成都高新医学会2022年度生物刺激反馈仪治疗便秘的临床观察科研基金(项目编号:202201)。

摘　　要：目的 探讨生物反馈电刺激治疗功能性便秘的临床效果。方法 50例功能性便秘患者,按照入院顺序编号随机分为对照组和研究组,各25例。对照组实施常规治疗,研究组在常规治疗基础上实施生物反馈电刺激治疗。比较两组治疗效果、肛肠动力学指标及症状评分、舒适度和睡眠质量评分、生活质量评分。结果 研究组治疗总有效率100.00%高于对照组的84.00%,差异具有统计学意义(P<0.05)。治疗后,两组直肠排便感觉阈值、直肠最大耐受量均低于治疗前,直肠-肛管静息压差均高于治疗前,且研究组直肠排便感觉阈值(78.64±13.21)ml、直肠最大耐受量(130.04±11.25)ml均低于对照组的(96.31±14.59)、(146.52±12.03)ml,直肠-肛管静息压差(21.16±4.27)mm Hg(1 mm Hg=0.133 kPa)高于对照组的(15.70±3.95)mm Hg,差异具有统计学意义(P<0.05)。治疗后,两组排便费力、肛门坠胀、腹痛、腹胀评分均明显低于治疗前,且研究组排便费力评分(1.06±0.31)分、肛门坠胀评分(1.24±0.38)分、腹痛评分(1.16±0.40)分、腹胀评分(1.19±0.32)分均低于对照组的(1.52±0.48)、(1.64±0.37)、(1.61±0.45)、(1.62±0.35)分,差异具有统计学意义(P<0.05)。治疗后,两组舒适度评分高于治疗前,睡眠质量评分低于治疗前,且研究组舒适度评分(102.80±6.57)分高于对照组的(92.46±7.24)分,睡眠质量评分(9.60±1.41)分低于对照组的(11.26±1.58)分,差异具有统计学意义(P<0.05)。治疗后,两组生理、心理、环境以及社会关系评分均明显高于治疗前,且研究组生理评分(89.75±6.48)分、心理评分(89.07±6.02)分、环境评分(90.14±6.15)分以及社会关系评分(89.96±6.27)分均高于对照组的(82.93±6.85)、(82.40±6.13)、(83.27±6.30)、(83.14±6.54)分,差异具有统计学意义(P<0.05)。结论 对于功能性便秘患者,在常规促排便同时实施生物反馈电刺激治疗可有效增强疗效,可起到改善症状、肛肠动力学指标的�Objective To discuss the clinical effect of biofeedback electrical stimulation in the treatment of functional constipation.Methods A total of 50 patients with functional constipation were randomly divided into a control group and a study group according to admission number,with 25 cases in each group.The control group received conventional treatment,and the study group received biofeedback electrical stimulation on the basis of conventional treatment.The therapeutic effect,anorectal dynamics index and symptom score,comfort score,sleep quality score and quality of life score were compared between the two groups.Results The total effective rate of 100.00%in the study group was higher than that of 84.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the rectal sensory threshold and maximum rectal tolerance in both groups were lower than those before treatment in this group,and the anorectal canal resting pressure difference was higher than that before treatment in this group;the rectal sensory threshold of(78.64±13.21)ml and maximum rectal tolerance of(130.04±11.25)ml in the study group were lower than those of(96.31±14.59)and(146.52±12.03)ml in the control group;the anorectal canal resting pressure difference of(21.16±4.27)mm Hg(1 mm Hg=0.133 kPa)in the study group was higher than that of(15.70±3.95)mm Hg in the control group;the differences were statistically significant(P<0.05).After treatment,the scores of defecation effort,anal distension,abdominal pain and abdominal distension in both groups were significantly lower than those before treatment in this group;in the study group,the defecation effort score was(1.06±0.31)points,the anal distension score was(1.24±0.38)points,the abdominal pain score was(1.16±0.40)points and the abdominal distension score was(1.19±0.32)points,which were lower than those of(1.52±0.48),(1.64±0.37),(1.61±0.45)and (1.62±0.35) points in the control group;the differences were statistically significant (P<0.05). After treatment,

关 键 词：功能性便秘 生物反馈电刺激 肛肠科 肛肠动力学指标 

分 类 号：R574.62[医药卫生—消化系统]