摘要
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 floormuscle spasm syndrome, and to evaluate the subjective quality of life and objective anorectal pressuredetection in patients with constipation. Methods The outpatients diagnosed as pelvic floor muscle spasmsyndrome of the First Affiliated Hospital of Xinjiang Medical University were enrolled.The patients weredivided into biofeedback training group and sacral nerve stimulation training group. 40 cases patients weredevided in each group and followed up for at least 3 months. We evaluated the subjective indicators accordingto survival quality assessment table (PAC-QOL, Chinese version) including physiology, psychology, concernsand satisfaction and objective evaluation of the anorectal pressure. Results In the subjective aspect,compared with sacral nerve stimulation therapy, biofeedback treatment can obviously improve constipationpatients? physiology, social psychology, concerns and satisfaction, and improve the patients quality of life; Inthe objective aspect, biofeedback treatment can increase rectal sensory threshold, anal canal resting pressurereduction 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 spasmsyndrome in patients with constipation, improve the quality of life in patients with constipation.
作者
路明
刘扬
温浩
Lu Ming;Liu Yang;Wen Hao(Department of Anorectal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China)
出处
《中华结直肠疾病电子杂志》
2016年第1期60-63,共4页
Chinese Journal of Colorectal Diseases(Electronic Edition)
关键词
便秘
治疗结果
生物反馈训练
盆底肌痉挛
Constipation
Treatment outcome
Biofeedback training
Pelvic floor muscle spasm
