直肠肛门测压与生物反馈治疗功能性便秘在临床中的应用
戴志毅;易文全
【期刊名称】《西部医学》 【年(卷),期】2012(024)007
【摘要】目的 探讨功能性便秘患者直肠肛门压力变化及生物反馈治疗对功能性便秘的疗效.方法 180例功能性便秘患者(便秘组)被纳入本研究,采用维迪胃肠肠动力检测和生物反馈仪行直肠肛门测压和生物反馈治疗,治疗前后分别对患者进行临床症状评分,并记录直肠、肛管静息压、肛管自主收缩持续时间及直肠肛门抑制反射域.60例无排便异常患者(对照组)作为正常对照,接受直肠肛门测压.结果 ①与正常对照组比较,功能性便秘患者直肠、肛管静息压、肛管自主收缩持续时间及直肠肛门抑制反射域值均明显增高(P<0.05).②治疗后便秘患者临床症状减轻,显效45例,有效96例,总有效率约78.3%.直肠、肛管静息压、肛管自主收缩持续时间及直肠肛门抑制反射域值降低(P<0.05).结论 功能性便秘患者存在直肠肛门压力异常,生物反馈治疗可通过改善直肠肛门压力异常达到治疗便秘的目的.%Objective To investigate the pressure of anorectum and the effects of biofeedback treatment in patient with functional constipation. Methods 180 patients were enlisted to take the biofeedback therapy by Weidi stomach ints-tine enterokinesia detection and biofeedback appearance in the clinic. Theclinic symptoms and anorectura resting prus-sure, independent duration of contraction of anal canal, anorectum inhibitory reflex value were recorded and compared before and after biofeedback therapy. 60 patients without defecation dysfunction were