摘要
目的观察生物反馈联合电刺激治疗大便失禁患者的临床效果。方法前瞻性选取2018年10月至2019年9月首都医科大学附属北京中医医院肛肠科收治的118例大便失禁患者,采用随机数字表法将其分为对照组与观察组,各59例。对照组患者采用常规电刺激进行治疗,观察组患者采用生物反馈联合电刺激治疗。评估两组患者治疗前后的临床疗效,主要症状和体征总评分、肛管静息压、最大收缩压、最长收缩时间指标。结果观察组总有效率(96.6%)明显高于对照组(76.3%),差异具有统计学意义(P <0.05)。治疗前,两组患者在体征评分、肛管静息压、最大收缩压、最长收缩时间方面差异均无统计学意义(P> 0.05)。治疗后,常规电刺激及生物反馈联合电刺激均能改善患者的肛管直肠测压(包括肛管静息压、最大收缩压),以帮助患者建立正常的排便反射。与对照组比较,观察组患者的主要症状和体征总评分(3.82±3.74)、肛管静息压(11.8±2.6)及最大收缩压(13.1±2.3)和最长收缩时间(17.8±3.4)改善更为显著,差异具有统计学意义(P <0.05)。结论生物反馈联合电刺激对于大便失禁患者的治疗较单纯电刺激治疗能够在短期内获得确切且显著的疗效,有利于改善患者大便失禁的症状,提高其身体健康及生活质量水平。
Objective To observe the clinical effect of biofeedback combined with electric stimulation in the treatment of fecal incontinence.Methods 118 cases of fecal incontinence patients admitted to the department of Anorectal Medicine in Capital Medical University Affiliated Beijing Chinese Medicine Hospital from October 2018 to September 2019 were prospectively selected.They were divided into control group and observation group,59 cases in each group.Patients in the control group were treated with conventional electrical stimulation,while patients in the observation group were treated with biofeedback combined with electrical stimulation.Before and after treatment,the clinical efficacy,the total score of main symptoms and signs,the anal resting pressure,the maximum systolic pressure and the longest systolic time were evaluated.Results The effective rates of treatment in the observation group and the control group were 96.6%and 76.3% respectively,the difference was statistically significant (P<0.05).Before treatment,compared with the control group,there was no significant difference in physical signs score,anal resting pressure,maximum systolic pressure and the longest systolic time in the observation group (P>0.05).After treatment,both routine electrical stimulation and biofeedback combined with electrical stimulation can improve anorectal manometry (including anal resting pressure and maximum systolic pressure) to help patients establish normal defecation reflex.Compared with the control group,the patients in the observation group improved significantly in the main symptoms and signs (3.82±3.74),anal resting pressure (11.8±2.6),maximum systolic pressure (13.1±2.3) and the longest systolic time (17.8±3.4),the difference was statistically significant (P<0.05).Conclusion Biofeedback combined with electrical stimulation can achieve a definite and significant effect in a short period of time,which is beneficial to improve the symptoms of fecal incontinence and improve the level of health and quality of life.
作者
李振宇
刘建乔
芦煜
张书信
LI Zhen-yu;LIU Jian-qiao;LU Yu(Department of Anorectal,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
出处
《临床和实验医学杂志》
2020年第17期1872-1876,共5页
Journal of Clinical and Experimental Medicine
基金
北京中医药"薪火传承3+3"工程-王嘉麟名家研究室项目(编号:2014-SZ-A-33)。
关键词
大便失禁
生物反馈
电刺激
直肠功能
排便功能
Fecal incontinence
Biofeedback
Electrical stimulation
Rectal function
Defecation function
