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中华结直肠疾病电子杂志 ›› 2016, Vol. 05 ›› Issue (01) : 60 -63. doi: 10.3877/cma.j.issn.2095-3224.2016.01.12

所属专题: 文献

论著

生物反馈训练治疗盆底肌痉挛综合症的临床疗效观察
路明1, 刘扬1, 温浩1,()   
  1. 1. 830054 乌鲁木齐,新疆医科大学第一附属医院肛肠科
  • 收稿日期:2016-01-15 出版日期:2016-02-25
  • 通信作者: 温浩

Clinical research on the treatment of biofeedback training for pelvic floor muscle spasm syndrome

Ming Lu1, Yang Liu1, Hao Wen1,()   

  1. 1. Department of Anorectal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2016-01-15 Published:2016-02-25
  • Corresponding author: Hao Wen
  • About author:
    Corresponding author: Wen Hao, Email:
引用本文:

路明, 刘扬, 温浩. 生物反馈训练治疗盆底肌痉挛综合症的临床疗效观察[J]. 中华结直肠疾病电子杂志, 2016, 05(01): 60-63.

Ming Lu, Yang Liu, Hao Wen. Clinical research on the treatment of biofeedback training for pelvic floor muscle spasm syndrome[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2016, 05(01): 60-63.

目的

探讨生物反馈训练治疗盆底肌痉挛综合症的临床疗效,并对便秘患者进行主观生存质量评价和客观肛门直肠测压检测。

方法

将新疆医科大学第一附属医院便秘诊疗门诊收治的诊断明确的盆底肌痉挛综合症患者按患者意愿分为生物反馈训练治疗组和骶神经刺激治疗组,每组患者40例,对两组患者至少随访3个月,并使用生存质量自评表PAC-QOL中文版对入组病人进行生理、社会心理、担忧及满意度四方面进行主观评价和肛门直肠测压的客观评价。

结果

主观方面,与骶神经刺激治疗组相比,生物反馈训练治疗可明显改善便秘患者生理、社会心理、担忧及满意度,提高患者生活质量;客观方面,生物反馈训练治疗更能增加直肠感觉阈值,降低肛管静息压和肛管最大收缩压,改善排便困难症状。

结论

生物反馈训练治疗可明显改善盆底肌痉挛综合症患者的便秘症状,提高便秘患者的生活质量。

Objective

To discuss the clinical effect of biofeedback training on the pelvic floor muscle spasm syndrome, and to evaluate the subjective quality of life and objective anorectal pressure detection in patients with constipation.

Methods

The outpatients diagnosed as pelvic floor muscle spasm syndrome of the First Affiliated Hospital of Xinjiang Medical University were enrolled.The patients were divided into biofeedback training group and sacral nerve stimulation training group. 40 cases patients were devided in each group and followed up for at least 3 months. We evaluated the subjective indicators according to survival quality assessment table (PAC-QOL, Chinese version) including physiology, psychology, concerns and satisfaction and objective evaluation of the anorectal pressure.

Results

In the subjective aspect, compared with sacral nerve stimulation therapy, biofeedback treatment can obviously improve constipation patients? physiology, social psychology, concerns and satisfaction, and improve the patients quality of life; In the objective aspect, biofeedback treatment can increase rectal sensory threshold, anal canal resting pressure reduction and anal canal maximum systolic blood pressure, and improve the symptoms of bowel problems.

Conclusions

Biofeedback treatment can obviously improve the symptoms of pelvic floor muscle spasm syndrome in patients with constipation, improve the quality of life in patients with constipation.

表1 两组患者一般情况比较表
表2 两组患者治疗后四大领域评分的比较表(±s
表3 两组患者治疗后各项直肠肛门测压的指标的比较表
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