摘要
肛瘘术后不可避免会引起不同程度的括约肌损伤及不同程度的控便功能失调,其常见并发症为控便不良,多表现为肛门渗液或稀便、排气的控制不良,程度与轻度大便失禁相似。生物反馈是一种保守治疗,需要配合生活方式的调整和药物治疗,属于大便失禁的一线治疗方法。近年来,国际专家建议将生物反馈作为大便失禁治疗的金标准。提肛运动是一种既简单、又实用的肛门功能锻炼方法,具有预防和治疗肛门疾病的双重作用。临床上可见将提肛运动应用于便秘、术后肛门坠胀等,并已通过研究证明其有效性。基于生物反馈的模式进行提肛运动能有效帮助肛瘘患者术后康复。笔者认为,以高分辨肛门直肠压力测定为评估手段,通过生物反馈疗法的作用模式,规范患者进行有效的提肛运动,改善肛瘘术后控便功能失调,能最大程度地实现肛门功能的康复,节约医疗资源,减轻患者的经济负担,提升患者的满意度。
Anal fistula operation will inevitably cause different degrees of sphincter injury and different degrees of dysfunction of stool control.The common complication are poor stool control,mostly manifested as anal exudate,loose stools,poor exhaust control,degree and mild bowel incontinence is similar.Biofeedback is a conservative treatment that requires lifestyle adjustments and medications,and is a first-line treatment for fecal incontinence.In recent years,international experts have recommended biofeedback as the gold standard for the treatment of fecal incontinence.Anal levator exercise is a simple and practical method of anal functional exercise,which has the dual role of preventing and treating anal diseases.Clinically,it can be seen in the application of levator anus exercise for constipation,postoperative anal swell,etc.,and its effectiveness has been proven through research.Lifting the anus based on biofeedback can effectively help patients with anal fistula to recover after operation.The author believes that the use of high-resolution anorectal pressure measurement as an evaluation method,through the mode of action of biofeedback therapy,regulates patients to carry out effective levator movements,improves dysfunction of stool control after anorectal disease,and maximize the recovery of anal function,save medical resources,reduce patients′financial burden,and improve patient satisfaction.
作者
黄娟
吴许雄
HUANG Juan;WU Xu-xiong(Department of Anorectal,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou350004,China)
出处
《中国当代医药》
2020年第28期29-32,共4页
China Modern Medicine
基金
福建省卫生计生科研人才培养项目(2017-2-49)。
关键词
生物反馈
提肛运动
肛瘘术后
术后控便功能失调
研究进展
Biofeedback
Levator ani movement
Postoperative anal fistula
Postoperative stool control dysfunction
Research progress
