盆底表面肌电生物反馈联合“认知-协调-建构”的心理干预治疗功能性便秘的临床疗效

发布时间：2018-05-29 16:07

本文选题：功能性便秘 + 盆底表面肌电生物反馈　；参考：《中国老年学杂志》2017年15期

【摘要】：目的观察盆底表面肌电生物反馈联合"认知-协调-建构"的心理干预治疗功能性便秘的临床疗效。方法治疗组30例盆底表面肌电生物反馈联合"认知-协调-建构"的心理干预疗法,对照组30例盆底表面肌电生物反馈+基础疗法组,两组患者治疗2个疗程后对照治疗前后诸症积分变化情况。结果两组患者治疗前后症状积分、心理状态均有不同程度的改善;对两组间治疗后的主要临床症状改善进行比较,除对排便费力、排便时间的改善,治疗组优于对照组(P0.05),其余各指标治疗后两组积分无明显差异(P0.05);SCL-90的各因子在治疗前后对比,躯体化、强迫、抑郁、精神病性、饮食有显著差异(P0.05)。结论盆底表面肌电生物反馈与心理干预疗法具有协同的作用,治疗功能性便秘优于盆底表面肌电生物反馈+基础疗法,可以显著改善功能性便秘患者的临床症状及心理状态。
[Abstract]:Objective to observe the clinical effect of pelvic surface electromyoelectric biofeedback (EMG) combined with cognition-coordination-construction in the treatment of functional constipation. Methods 30 cases of pelvic floor electromyoelectric biofeedback combined with "cognitive-coordination-construction" psychological intervention therapy were used in the treatment group and 30 cases in the control group. After two courses of treatment, the patients in the two groups were compared with the changes of the symptom scores before and after treatment. Results the scores of symptoms and psychological state of the two groups were improved in different degrees before and after treatment, and the main clinical symptoms after treatment were compared between the two groups, except for the improvement of defecation effort and defecation time. The treatment group was superior to the control group (P 0.05). There was no significant difference in the scores of the other two groups after treatment. There were significant differences in the factors of SCL-90 before and after treatment, such as somatization, compulsion, depression, psychosis and diet. Conclusion EMG biofeedback on pelvic floor has synergistic effect with psychological intervention therapy. The treatment of functional constipation is superior to the basic therapy of EMG biofeedback on pelvic floor surface. It can significantly improve the clinical symptoms and psychological status of patients with functional constipation.
【作者单位】：福州市第一医院肛肠科;
【基金】：福州市科技计划项目(No.2011-S-66-7)
【分类号】：R574.62

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