热水坐浴联合多部位生物反馈治疗盆底失弛缓综合征的临床疗效

Sitz Bath with Hot Water plus Biofeedback Exercise at Multi-site in the Treatment of Anismus Syndrom：Clinical Effect

为探讨热水坐浴联合多部位生物反馈治疗盆底失弛缓综合征的临床疗效，将76例盆底失弛缓综合征患者随机分为试验组和对照组，各38例。试验组对肛管高压区、直肠下段两个部位进行生物反馈治疗，治疗前予热水坐浴；对照组给予一般的生物反馈治疗。两组均每天电刺激2次，每次20min，10次为一疗程，治疗2个疗程。治疗后观察两组患者疗效，并进行对比分析。结果显示，试验组总有效率为81．58％（31／38），对照组为60．53％（23／38）。试验组总有效率明显高于对照组，P〈0．05。而且治疗后试验组排便频率、排便时间、粪便性状、排便用力程度、肛门及骶后疼痛及肛门直肠压力测定情况均优于对照组，P〈0．05或P〈0．01或P〈0．001。结果表明，热水坐浴联合多部位生物反馈治疗盆底失弛缓综合征患者疗效明显优于一般的生物反馈治疗。

In order to explore the clinical effect of a combined therapy of hot water for sitz bath and multisite biofeedback exercise in the treatment of unrelaxed pelvic floor syndrome （also named anismus syn- drom） ,authors randomly divided 76 cases of anismus syndrom into trial group and control group, n =38 for each gave hot water sitz bath before treatment to the former, then at high pressure zone of anal canal, inferior return sites performed biofeedback therapy（electro-stimulation mode 20 min/time, 2 times/d, 10 times as a treatment course,totally 2 treatment courses） ,while to the latter common biofeedback exercise, for 2 treatment courses; then compared the curative effects of both groups. As results, the total effective rate of the former was significantly higher than that of the latter [81.58 %（31/38） vs 60.53 % （23/28）, P 〈0.05], and, after treatment in defecation frequency, defecation time, fecal characters, degree, of forced bowel movement, pain of anus and posterior sacral segment,as well as ano-rectum pressure the former was all superior to the latter （ P 〈0.05 or P 〈0.01 or P 〈0.001）.Results show that this combination therapy for anismus syndrome is significantly superior to common biofeedback exercise.