肛门直肠测压联合生物反馈技术治疗先天性肛门直肠畸形患儿术后排便功能障碍中的效果观察  

Observation on the effect of anorectal manometry combined with biofeedback technique in the treatment of postoperative defecation dysfunction in children with congenital anorectal malformation

作　　者：徐美汉[1] 李周旋 陈快[1] 樊纬[1] 陈小清 Xu Mei-han;Li Zhou-xuan;Chen Kuai;Fan Wei;Chen Xiao-qing(Department of Pediatric Surgery,Jiangxi Children's Hospital,Nanchang 330000,China)

机构地区：[1]江西省儿童医院小儿外科,江西南昌330000

出　　处：《四川生理科学杂志》2024年第1期31-33,共3页Sichuan Journal of Physiological Sciences

基　　金：江西省卫生健康委科技计划(编号:202211172)。

摘　　要：目的:观察肛门直肠测压联合生物反馈技术治疗先天性肛门直肠畸形(Anorectal malformation,ARM)患儿术后排便功能障碍(Function defecation disorder,FDD)中的效果。方法:选取2021年10月至2023年1月江西省儿童医院收治的ARM患儿62例,随机将患儿分为对照组(31例)和观察组(31例),对照组接受生物反馈技术干预,观察组在对照组基础上联合肛门直肠测压,两组均治疗3 m,比较两组出院6 m后肛门直肠测压指标、肛门功能及生活质量。结果:出院6 m后,观察组平均及最大静息压、初始排便阈值均高于对照组(P<0.05);观察组Rintala评分及儿童生活质量普适性核心量表优于对照组(P<0.05)。结论:肛门直肠测压联合生物反馈技术可改善ARM患儿术后FDD,提高初始排便阈值,提升肛门功能及生活质量。Objective:To observe the effect of anorectal manometry combined with biofeedback technology in the treatment of postoperative function defecation disorder(FDD)in children with anorectal malformation(ARM).How:A total of 62 children with ARM treated in Jiangxi Children's Hospital from October 2021 to January 2023 were randomly divided into control group(31 cases)and observation group(31 cases).The control group received biofeedback technology intervention,and the observation group was combined with anorectal manometry on the basis of the control group.Both groups were treated for 3 months.Anorectal pressure measurements,anal function and quality of life were compared between the two groups 6 months after discharge.Results:6 months after discharge,the average and maximum resting pressure and initial defecation threshold of observation group were higher than those of control group(P<0.05).The Rintala score and the universal core scale of children's quality of life in the observation group were better than those in the control group(P<0.05).Conclusion:Anorectal manometry combined with biofeedback can improve FDD,increase initial defecation threshold,and improve anal function and quality of life in ARM children.

关 键 词：先天性肛门直肠畸形 排便功能障碍 小儿 肛门直肠测压 生物反馈技术 

分 类 号：R726.1[医药卫生—儿科]