功能性排便障碍的生物反馈治疗

Biofeedback Treatment of Functional Defecation Disorders

罗马Ⅲ专家委员会在近年研究基础上,对功能性肛门直肠病的诊治标准进行了修订,将功能性便秘的出口梗阻型归入功能性肛门直肠病中,称为功能性排便障碍。功能性排便障碍包括盆底失迟缓和排便时直肠推进力不足所引起的排便困难。近年来认为脑-肠轴功能异常是也是引起便秘的重要原因。胃肠动力异常、内脏高敏感等可通过中枢神经系统(CNS)与肠神经系统(ENS)的脑-肠相互作用产生影响。生物反馈治疗因无创伤、无毒副作用、安全有效被认为是治疗功能性排便障碍的首选。

The Rome Ⅲ Specialist Committee modified the diagnostic and therapeutic criterion of functional anorectal disorders（FARD）based on studies of recent years.Functional defecation disorders（FDD）is one branch of FARD,which is commonly classified as dyssynergic defecation and inadequate defecatory propulsion.Recently,dysfunction of brain-gut axis is considered as an important cause of constipation.Functional disorder of gastrointestinal motility and visceral hypersensitivity can also effect each other through the brain-gut axis.Biofeedback is a non-invasive,safe and effective method,without toxic or side effect,has become the first choice of treating FDD.