排便功能训练与聚乙二醇治疗产后功能性便秘的远期疗效对比分析

Comparative Study on Long-term Effect of Defecation Functional Exercise and of Oral Macrogol in the Treatment of Puerperal Function Constipation

为探讨排便功能训练与聚乙二醇治疗女性产后功能性便秘的远期效果,选取2017年10月至2018年10月我院收治的102例产后功能性便秘患者作为研究对象,根据患者意愿将其分为观察组(52例,应用自制排便训练器进行排便功能训练)和对照组(50例,口服聚乙二醇治疗),比较2组患者干预前及干预后6个月时的排便情况。结果显示,干预后6个月时,观察组总有效率(92.31%,48/52)明显高于对照组(68.00%,34/50),P<0.05。干预前,2组患者排便费力、粪便性状、排便不尽感、排便次数评分比较差异均无统计学意义,P>0.05;干预后6个月时,观察组各便秘症状评分均明显低于对照组,P<0.05。结果表明,产后功能性便秘患者进行排便功能训练,有助于改善便秘症状,提高远期疗效。

This study was to investigate the long-term effect of puerperal function constipation(PFC)treated with defecation functional exercise(DFE)and with oral macrogol,enrolled 102 cases of PFC treated in author’s hospital and divided them into observation group(52 cases,took DFE by using self-developed defecation exercise device)and control group(52 cases,orally administered macrogol)according to patient’s aspiration;then compared both groups’defecation status before intervention and 6 months after intervention.As results,at 6 months after intervention the total effetive rate of observation group was significantly higher than that of control group[92.31%(48/52)vs 68.00%(34/50),P<0.05];in forced defecation(i.e,dyschesia),in stool character,in unended sensation for bowel movement,and in defecation frequency there was no statistical difference between the two groups(P>0.05),but at 6 months after intervention in the score on all above constipation symptoms significantly lower than control group(P<0.05).Results show that for PFC patients taking DFE is helpful to improve symptoms,enhance long-term effect.