生物反馈治疗在功能性排便障碍性便秘的临床效果

发布时间：2018-05-10 05:48

本文选题：便秘 + 生物反馈治疗　；参考：《中国全科医学》2017年S2期

【摘要】：目的探讨生物反馈治疗在功能性排便障碍性便秘中的临床应用。方法选取2012年1月—2016年1月徐州市中心医院肛肠科收治的78例功能性排便障碍患者,对患者进行生物反馈治疗,检测治疗的有效率,检测治疗前后肛门直肠压力的变化,并采用Wexner便秘评分系统对治疗前后及随访6个月时对患者的便秘症状进行评分。结果78例患者的总有效率为85.9%;治疗后,患者肛管静息压、直肠静息压降低,直肠最大收缩压较治疗前升高(P0.05);与治疗前相比,治疗后及随访6个月排便次数、排便困难、不完全排空感、疼痛感、排便时间、协助排便、排便失败评分降低(P0.05);随访6个月与治疗后排便次数、排便困难、不完全排空感、疼痛感、排便时间、协助排便、排便失败评分比较,差异无统计学意义(P0.05)。结论生物反馈治疗对功能性排便障碍性便秘有显著疗效,值得临床推广。
[Abstract]:Objective to explore the clinical application of biofeedback therapy in functional defecation disorder constipation. Methods from January 2012 to January 2016, 78 patients with functional defecation disorder were treated with biofeedback therapy. The effective rate and the change of anorectal pressure before and after treatment were measured. Wexner constipation scoring system was used to evaluate the constipation symptoms before and after treatment and 6 months follow-up. Results the total effective rate of 78 patients was 85.9. After treatment, the anal resting pressure, rectum resting pressure and rectal maximum systolic pressure were decreased and the rectal maximum systolic pressure was higher than that before treatment (P 0.05), compared with that before treatment, the number of defecation and defecation was difficult after treatment and 6 months follow-up. Incomplete emptying feeling, pain feeling, defecation time, assisted defecation, defecation failure score decreased P0.05; follow up for 6 months and number of defecation after treatment, defecation difficulty, incomplete emptying feeling, pain feeling, defecation time, assist defecation, There was no significant difference in defecation failure score (P 0.05). Conclusion biofeedback therapy has significant effect on functional defecation disorder constipation and is worth popularizing.
【作者单位】：江苏省徐州市中心医院肛肠科;
【分类号】：R574.62

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