摘要
目的探讨盆底肌功能紊乱患者的肛管动力学特征及采用生物反馈治疗的临床效果。方法选取新疆医科大学第一附属医院2014年2月~2015年7月收治的97例盆底肌功能紊乱患者作为试验组,另选健康对照人群30例作为对照组,测量两组的肛管动力学指标,观察试验组治疗前后排便情况及治疗效果。结果试验组的肛管静息压、最大缩窄压均显著低于对照组（P〈0.01）,静息状态下肛管高压带长度、力排时肛管高压带长度均显著长于对照组（P〈0.01）,力排时肛管剩余压显著高于对照组（P〈0.01）。治疗后,试验组的肛管静息压、最大缩窄压均显著高于治疗前（P〈0.01）,静息状态下肛管高压带长度、力排时肛管高压带长度均显著短于治疗前（P〈0.01）,力排时肛管剩余压显著低于治疗前（P〈0.01）。治疗后,试验组的腹痛腹胀、排便困难、排便不尽感发生率显著低于治疗前（P〈0.01）,每周排便次数显著多于治疗前（P〈0.01）。试验组治疗后显效34例（35.05%）、有效37例（38.14%）、无效26例（26.80%）,其中4例患者半年后出现复发。结论盆底肌功能紊乱患者的肛管动力学指标明显异常,生物反馈治疗效果显著,复发率较低。
Objective To investigate anorectal dynamics characteristics and biofeedback therapeutic effect in patients with pelvic muscle dysfunction. Methods 97 patients with pelvic muscle dysfunction in the First Affiliated Hospital of Xinjiang Medical University from February 2014 to July 2015 were selected as experimental group, 30 healthy people were selected as control group. Anorectal dynamics indexex of two groups were measured. Defecation situation before and after treatment and therapeutic effect of experimental group were observed. Results The anal resting pressure and maximum contraction pressure of experimental group were significantly lower than those of control group（P〈0.01）.Anal high pressure length, force row anal high pressure length of experimental group were significantly longer than those of control group（P〈0.01）. Force row anal residual pressure in resting state of experimental group was significantly higher than that of control group（P〈0.01）. After treatment, anal resting pressure and maximum contraction pressure of experimental group were significantly higher than those before treatment（P〈0.01）. After treatment, Anal high pressure length, force row anal high pressure length of experimental group were significantly shorter than those before treatment（P〈0.01）. After treatment, force row anal residual pressure in resting state of experimental group was significantly lower than that before treatment（P〈0.01）. After treatment, incidence rate of abdominal pain, abdominal distension, defecate difficulty, endless defecate in experimental group were significantly lower than those before treatment（P〈0.01）. After treatment, the weekly frequency of defecation in experimental group were significantly more than those before treatment（P〈0.01）. After treatment, excellence for 34 cases（35.05%）, effective for 37 cases（38.14%）, invalid for 26 cases（26.80%） in experimental group, and 4 patients had a recurrence after half a year. Conclusion Anorectal dynamics indexes of pelvic muscle dysfunction patients are abnormal, treatment effect of biofeedback is remarkable, the recurrence rate is low.
出处
《中国医药导报》
CAS
2016年第14期107-110,114,共5页
China Medical Herald
基金
新疆维吾尔自治区科技支疆项目(201491107)
关键词
盆底肌功能紊乱
肛管动力学特征
生物反馈
Pelvic muscle dysfunction
Anorectic dynamics characteristics
Biofeedback
