盆底生物电反馈治疗仪联合盆底肌锻炼对直肠癌保肛术患者康复效果的影响

Effect of Pelvic Floor Bioelectric Feedback Therapeutic Instrument Combined with Pelvic Floor Muscle Exercise on Rehabilitation of Patients with Rectal Cancer Undergoing Anus Preserving Surgery

目的分析盆底生物电反馈治疗仪联合盆底肌锻炼对直肠癌保肛术患者康复效果的影响.方法选择2020年3月—2021年6月我院收治的82例直肠癌保肛术患者为研究对象,采用随机数字表法分为两组,各41例.对照组给予盆底肌训练治疗,观察组在对照组基础上联合盆底生物电反馈治疗仪治疗,两组持续训练治疗8周.对比两组患者肛门直肠功能、纪念斯隆凯特琳癌症中心(MSKCC)肠道功能问卷评分和排便功能.结果治疗后观察组肛管静息压、肛管最长收缩时间、肛管最大收缩压、直肠最大耐受量、直肠静息压、直肠顺应性均高于对照组,组间差异有统计学意义(P<0.05);治疗后观察组MSKCC肠道功能问卷评分为(27.36±4.35)分,高于对照组的(23.42±3.25)分,组间差异有统计学意义(P<0.05);治疗期间观察组排便评分高于对照组,组间差异有统计学意义(P<0.05).结论在直肠癌保肛术患者中采用盆底生物电反馈治疗仪联合盆底肌锻炼,可改善肛门直肠功能及排便功能.

Objective To analyze the effect of pelvic floor bioelectric feedback therapy instrument combined with pelvic floor muscle exercise on patients undergoing anus preserving surgery for rectal cancer.Methods 82 patients with rectal cancer treated in our hospital from March 2020 to June 2021 were selected as the research objects,and randomly divided into two groups,with 41 cases in each group.The control group was treated with pelvic floor muscle training,and the observation group was treated with pelvic floor bioelectric feedback therapeutic instrument.Both groups continued treatment for 8 weeks.Anorectal function,intestinal function questionnaire score of memorial Sloan Kettering Cancer Center(MSKCC)and defecation function were compared between the two groups.Results After treatment,the anal resting pressure,the longest anal contraction time,the maximum anal systolic pressure,the maximum rectal tolerance,rectal resting pressure and rectal compliance in the observation group were significantly higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);After treatment,the score of MSKCC intestinal function questionnaire in the observation group was(27.36±4.35)points,which was higher than(23.42±3.25)points in the control group,and the difference between the groups was statistically significant(P<0.05);during the treatment,the defecation score of the observation group was higher than that of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion Pelvic floor bioelectric feedback therapy combined with pelvic floor muscle exercise can improve anorectal function and defecation function in patients undergoing anus preserving surgery for rectal cancer.