心理干预联合生物反馈在功能性便秘中的临床应用研究

Clinical effects of psychological intervention combined with biofeedback on functional constipation

目的研究心理干预联合生物反馈在功能性便秘中的临床应用。方法按照功能性便秘罗马Ⅲ诊断标准,在我院门诊或病房选择便秘患者60例,对每名患者进行5～10次的心理干预加生物反馈治疗,观察患者的临床症状改善情况;应用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行功能性便秘患者的焦虑和抑郁症状评估。结果 60例功能性便秘患者经心理干预加生物反馈治疗后,10.0%(6/60)治愈;40%(24/60)显效;31.6%(19/60)有效;18.3%(11/60)无效,有效率81.6%。生物反馈联合心理干预治疗前,功能性便秘患者的焦虑自评量表评分(41±9)和抑郁自评量表评分(49±8),与中国常模相比较,存在明显的焦虑、抑郁情绪。治疗后,患者焦虑自评量表评分(32±7分)和抑郁自评量表评分(33±7)显著改善(P<0.01)。结论心理干预联合生物反馈治疗后,功能性便秘患者临床症状、焦虑和抑郁量表评分都较治疗前有明显改善。表明心理干预联合生物反馈治疗对功能性便秘有良好的治疗效果,具有较高的临床应用价值。

Objective To study the clinical effects of psychological intervention combined with biofeedback on functional constipation.Methods In accordance with the Rome Ⅲ diagnostic criteria of functional constipation,60 patients with functional constipation in our hospital were recruited into this study.5-10 times of psychological intervention plus biofeedback therapy were adopted for each patient and their improvement was observed.Self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were used to assess FC patients＇ symptoms of anxiety and depression.Results 10.0%（6/60） were cured,40%（24/60） markedly effective,31.6%（19/60） effective,18.3%（11/60） were not effective.The efficiency rate was 81.6% in the 60 FC patients after psychological intervention plus biofeedback therapy.The FC patients＇ SAS score and SDS score were 41.49±9.86 and 48.76±8.09 before treatment respectively.After treatment,they were improved significantly（P0.05）.Conclusion FC patients＇ clinical symptoms,anxiety and depression scale score has a significant improvement after psychological intervention combined biofeedback treatment.Psychological intervention plus biofeedback for functional constipation has a good therapeutic effect and a high clinical value.