经颅微电流刺激干预对盆底失弛缓型便秘相关焦虑、抑郁的影响

The effect of Cranial Electrotherapy Stimulation(CES) on 60 cases of dyssynergic defecation with anxiety or depression

目的:探讨经颅微电流刺激(CES)对伴有精神心理障碍的盆底失弛缓型便秘患者生物反馈治疗的护理干预效果;方法:60例伴有轻、中度焦虑抑郁失弛缓型便秘患者分2组采用生物反馈治疗,并对治疗组给予经颅微电流刺激(CES)干预,评价护理干预效果;结果:2组治疗组慢性便秘严重度评分(CSS)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量指数(PSQI)、便秘患者生活质量问卷(PAC-QOL)、症状自评量表(SCL-90)比较,P均<0.05,差异有统计学意义。结论:对伴有精神心理障碍的盆底失弛缓便秘患者,在常规专科治疗的同时应配合适当的CES干预,辅助生物反馈训练提高疗效,最终改善其生活质量。而且CES操作简便,安全,便于实施,患者易于接受。

Objective： To investigate the effect of Cranial Electrotherapy Stimulation （CES） on 60 cases of dyssynergic defecation with anxiety or depression; Methods： 60 cases of dyssynergic defecation with mild anxiety or depression were di- vided into two groups, one group was given biofeedback therapy, and another group was given biofeedback combined Cra- nial Electrotherapy Stimulation （CES） .Then evaluate the effect of both; Results： simple biofeedback group only decrease the chronic constipation severity score （CSS） （P 〈0.05）, while using biofeedback combined Cranial Electrotherapy Stimula- tion （CES）group can improve the chronic constipation severity score （CSS）, Hamilton Depression Scale （HAMD）, Hamilton Anxiety Scale （HAMA）, Pittsburgh sleep quality index （PSQI）, the Patients with constipation Quality of Life Questionnaire （PAC-QOL） and Symptom Checklist-90 （SCL-90） （P 〈0.05）. Conclusion： for dyssynergic defecation patients, Cranial Electrotherapy Stimulation （CES） other regular treatment could improve the effect, and ultimately improve the quality of life. The CES is simple and safe, also the patients are easily to accept.