生物反馈辅以针灸治疗盆底肌功能紊乱前后肛管动力学改变分析

目的分析盆底肌功能紊乱患者生物反馈技术辅以针灸治疗前后肛管动力学改变.方法选取2017年1月至12月100例诊断为盆底肌功能紊乱患者,测量治疗前病态情况下肛管动力学指标,并于治疗后6个月观察肛管动力学的改变情况并分析治疗效果.结果治疗后肛管静息压、最大缩窄压均显著高于治疗前(P<0.05),静息状态下肛管高压带长度、力排时肛管高压带长度均显著短于治疗前(P<0.05),力排时肛管直肠压显著低于治疗前(P<0.05).治疗后排便堵塞感、排便时间延迟及每周排便次数显著低于治疗前(P<0.05).结论盆底肌功能紊乱患者肛管动力学指标在生物反馈技术辅以针灸治疗前后差异明显,生物反馈技术辅以针灸治疗效果显著.

Objective To analyze the changes of anal canal dynamics in patients with pelvic floor muscle dysfunction before and after acupuncture treatment and biofeedback. Methods 100 patients with pelvic floor muscle dysfunction diagnosed from January to December 2017 were selected. Anal dynamics indexes were measured before treatment. The changes of anal dynamics were observed 6 months after treatment and the therapeutic effect was analyzed. Results After the treatment,both the static pressure of the anal canal and the maximum constriction pressure were significantly higher than before the treatment(P<0.05),the length of the hypertensive anal pipe was significantly shorter than before the treatment(P<0.05),and the anorectal pressure was significantly lower than before the treatment(P<0.05). The feeling of obstruction after treatment,delayed defecation time and weekly defecation times were significantly lower than before treatment(P<0.05). Conclusion The anorectal dynamic indexes of patients with pelvic floor muscle dysfunction are significantly different before and after the treatment with acupuncture and moxibustion assisted by biofeedback.