生物反馈疗法治疗盆底失弛缓性便秘的临床效果

The clinical efficacy of biofeedback therapy in the treatment of pelvic floor achalasia constipation

目的分析对盆底失弛缓性便秘患者给予生物反馈疗法治疗的临床效果。方法将本院2016年4月至2017年4月收治的68例盆底失弛缓性便秘患者进行观察，采用摸球法将患者分为对照组、研究组各34例。对照组给予手术挂线法治疗，研究组给予生物反馈疗法治疗。观察两组患者治疗前后排便症状积分、并发症发生率以及治疗总有效率。结果研究组、对照组总有效率（91．18％比85．29％）比较差异无统计学意义（P〉0．05）；研究组并发症发生率低于对照组（0．00％比20．59％，P〈0．05）；研究组、对照组排便症状积分较治疗前均有所改善且研究组优于对照组（均P〈0．05）。结论生物反馈疗法治疗的效果明显，能有效改善患者排便症状，改善肛门肌肉、腹部肌群收缩、放松功能，利于患者轻松排便，利于预后。

Objective To analyze the clinical effect of biofeedback therapy （BF） in the treatment of pelvic floor achalasia constipation. Methods 68 cases of pelvic floor achalasia constipation in our hospital from Apr 2016 to Apr 2017 were selected, and were divided into the control group and the study group with the touching ball method, 34 cases in each group. The control group was treated with the seton operation method, while the study group was treated with biofeedback therapy. Observed the defecation symptom score before and after treatment, complication rate, and the total efficiency of the two groups. Results There was no statistically significant difference in the total effective rate between the two groups （91.18% vs.85.29%, P〉0.05）; the complication rate in the study group was lower than that in the control group （0.00% vs.20.59%, P〈0.05）; the defecation symptom score were improved in both two groups, and the defecation symptom score in the study group was better than that in the control group （P〈0.05）. Conclusion BF has obvious effect in the treatment of pelvic floor achalasia constipation, which can effectively improve the defecation symptom of patients, improve the contraction and relaxation function of anal muscle and abdominal muscle, is helpful to easy defecation, is good for improving the prognosis.