表面肌电信号评价呼吸电刺激治疗功能性便秘的疗效

发布时间：2018-09-19 10:50

【摘要】：目的利用表面肌电测量腹肌、膈肌和盆底肌肌电改变,评价呼吸电刺激治疗功能性便秘的疗效。方法共31例功能性便秘患者纳入研究,按随机数字表法分为对照组和治疗组,对照组采用单纯盆底生物反馈治疗(16例),治疗组在盆底生物反馈治疗基础上进行呼吸电刺激训练(15例)。分别于治疗前以及治疗后对两组选用便秘评分系统进行评估,采用表面肌电图技术检测膈肌和下腹肌表面肌电均方根,Glazer法评估盆底肌肌电参数。结果治疗2周后,两组患者便秘评分系统评估较治疗前下降(P0.05),且治疗组评分低于对照组(P0.05);两组患者的膈肌和腹直肌均方根值较治疗前改善(P0.05),且治疗组膈肌肌电均方根值改善程度与对照组比较有统计学差异(P0.05)。治疗后,Glazer法评估两组患者前基线、后基线波幅值较治疗前降低(P0.05),且治疗组前基线波幅值较对照组降低,差异有统计学意义(P0.05)。结论呼吸电刺激训练可有效提高膈肌、腹肌收缩力,降低盆底肌的过度活动,增强盆底生物反馈治疗改善功能性便秘的治疗效果。
[Abstract]:Objective to evaluate the efficacy of respiratory electrical stimulation in the treatment of functional constipation by measuring the myoelectric changes of abdominal, diaphragm and pelvic floor muscles. Methods A total of 31 patients with functional constipation were divided into control group and treatment group according to random digital table. The control group was treated with pelvic floor biofeedback alone (16 cases) and the treatment group with respiratory electrical stimulation on the basis of pelvic floor biofeedback therapy (15 cases). The constipation scoring system was used to evaluate the constipation score before and after treatment. The surface electromyography (SMG) technique was used to measure the EMG parameters of the diaphragm and lower abdominis muscle by Glazer method. Results after 2 weeks of treatment, The mean square root (RMS) of diaphragm and rectus abdominis was improved in both groups (P 0.05), and the improvement of the mean square root value of diaphragm and rectus muscle in the treatment group was significantly higher than that in the control group (P 0.05), and the improvement of the mean square root value of diaphragm muscle in the treatment group was significantly higher than that in the control group (P 0.05). There was statistical difference in control group (P0.05). After treatment, the Glazer method was used to evaluate the anterior baseline, the amplitude of the posterior baseline was lower than that before treatment (P0.05), and the amplitude of the baseline before treatment was lower than that of the control group, the difference was statistically significant (P0.05). Conclusion the training of respiratory electrical stimulation can effectively improve the contractility of diaphragm and abdominis, decrease the excessive activity of pelvic floor muscle, and enhance the therapeutic effect of pelvic floor biofeedback therapy to improve functional constipation.
【作者单位】：南方医科大学;广东省人民医院广东省医学科学院;
【分类号】：R574.62

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