电针刺激联合生物反馈治疗盆底功能障碍型便秘疗效观察

Clinical Efficacy of Electroacupuncture Stimulation Combined with Biofeedback in Treatment of Pelvic Floor Dysfunction Constipation

目的:观察分析电针刺激联合生物反馈治疗盆底功能障碍型便秘(PFDC)的疗效及对肛管直肠压力及感觉的影响。方法:选取2021年1月至2023年6月,本院治疗的52例PFDC患者,随机分为观察组和对照组,每组各26例。观察组实施电针刺激联合生物反馈治疗,对照组仅实施生物反馈治疗。观察比较2组疗效、排便情况和肛管直肠动力及感觉变化。结果:干预后,观察组总有效率为96.2%,高于对照组的76.9%(P<0.05);周排便次数为(2.95±0.68)次,高于对照组的(2.26±0.54)次(P<0.05);大便性状及排便费力情况均优于对照组(P<0.05);观察组各项肛管直肠压力与感觉指标均显著优于对照组(P<0.05)。结论:电针刺激联合生物反馈是治疗PFDC患者的理想方案,临床效果显著,同时能改善患者排便情况与肛管直肠压力指标,值得临床推广应用。

Objective To observe and analyze the efficacy of electroacupuncture stimulation combined with biofeedback in the treatment of pelvic floor dysfunction constipation(PFDC)and its effect on the pressure and sensation of anorectal canal.Methods Total 52 patients with PFDC treated in our hospital from January 2021 to June 2023 were randomly divided into observation group and control group,with 26 cases in each group.The observation group was given electroacupuncture stimulation combined with biofeedback treatment,while the control group only received biofeedback treatment.The efficacy,defecation status,anorectal motility and sensory changes of the two groups were observed and compared.Results After intervention,the total effective rate was 96.2%in the observation group,which was higher than 76.9%in the control group(P<0.05).The number of weekly defecation was(2.95±0.68)times in the observation group,which was higher than(2.26±0.54)times in the control group(P<0.05).The characteristics of stool and difficulty in defecation of the observation group were better than those of the control group(P<0.05).The anorectal pressure and sensory indexes in the observation group were significantly better than those in the control group(P<0.05).Conclusion Electroacupuncture stimulation combined with biofeedback is an ideal therapeutic regimen for PFDC patients,with significant clinical effect,and can improve patients'defecation and anorectal pressure indicators,which is worthy of clinical promotion and application.