生物反馈训练对功能性便秘患者临床症状、心理状况和生活质量的影响

The effects of biofeedback training on clinical symptoms, psychological status and quality of life in patients with functional constipation

目的 探讨生物反馈训练对功能性便秘（FC）患者临床症状、心理状况和生活质量的影响.方法 对49例符合FC罗马Ⅲ标准的患者进行生物反馈训练,应用临床症状积分量表、Zung焦虑自评量表（SAS）、抑郁自评量表（SDS）、汉化版简明健康调查量表（SF-36）评定患者治疗前后的临床症状、心理状况和生活质量的综合改善情况.结果 生物反馈训练后,FC患者临床症状显著改善,临床症状积分量表中排便间隔天数、费力程度、排便不尽和坠胀感、粪便性状、腹胀评分及总积分均有显著降低（临床症状改善）.SF-36量表的8个维度（总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能和精神健康）的评分均显著提高（生活质量改善）.患者治疗后与治疗前相比,SAS量表评分（41.0±8.1比46.5±11.9）和SDS量表评分（44.0±8.2比51.2±11.5）亦显著降低（焦虑、抑郁状况改善）.结论 生物反馈训练不仅能有效改善FC患者的临床症状,还可提高患者的生活质量和心理健康水平.

Objective To explore the effects of biofeedback training on clinical symptom,psychological state and quality of life in patients with functional constipation （FC）.Methods Forty-nine patients with FC diagnosed by Rome Ⅲ were enrolled and received biofeedback training Bowel symptom measure, Zung＇s self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and Chinese version of the MOS 36-item short form healthy survey （SF-36） were recorded to assess the effects before and aftertreatment.Results After biofeedback training, clinical symptom of patients with FC was greatly improved：there was a very significant decrease in total and subscales scores of bowel symptom including spontaneous frequency of bowel movements, straining effort, sensation of anorectal obstruction/blockage, stool consistence and bloating.Patients with FC also improved their quality of life as well as psychological status after biofeedback.All subcategories of SF-36 including general health, physical function, bodily pain, role physical, vitality, social function, role emotion and mental health showed marked increase.Compared to the scores before biofeedback training, SAS （41.0 ±8.1 vs 46.5 ± 11.9） and SDS （44.0 ±8.2 vs 51.2 ±11.5） scores decreased significantly after biofeedback training Conclusion Biofeedback training can improve clinical symptom, psychological status and quality of life in patients with FC.