盆底肌功能失调型便秘的生物反馈治疗及护理

Biological feedback therapy and nursing care of pelvic floor functional constipation

目的:探讨盆底功能失调型便秘生物反馈治疗及护理疗效。方法:总结30例盆底功能失调型便秘的生物反馈治疗及护理资料。结果:24例肛管直肠压力测定示直肠感觉阈值,最大耐受容量,直肠肛门抑制反射较治疗前降低,盆底肌的反常收缩消失,恢复正常排便;4例排便次数,排便不尽感,肛门坠胀感较治疗前有所改善,有效率为93·33%,2例无效。结论:盆底肌功能失调型便秘的生物反馈治疗配合相应护理得当近期疗效满意,它具有相对非侵入性,易忍受,费用低,无需住院等优点,其远期疗效值有待于进一步观察。

Objective： To evaluate the biological feedback therapy and nursing care of pelvic floor functional constipation. Methods： Data about biological feedback therapy and nursing care in 30 cases with pelvic floor functional constipation were reviewed and analyzed. Results： Anorectal manometry in 24 cases indicated that the rectum sensation threshold, the maximum tolerable volume and the anorectal inhibitory reflex decreased, compared with that before treatment. Pelvic floor paradoxical contraction disappeared and bowel movement recovered normally in these patients. The symptoms including times of bowel movement, sensation of incomplete evacuation and sensation of rectal tenesmus were improved in 4 cases. The effective rate was 93.33%. Only 2 cases were ineffective. Conclusion： Biological feedback therapy and suitable nursing care has satisfied short-term effect for pelvic floor functional constipation. Its long-term effect should be observed further.