摘要
目的探讨针刺联合生物反馈训练法治疗盆底痉挛综合征的可行性,以优化临床治疗效果。方法将100例盆底痉挛综合征患者随机分为生物反馈训练法组50例和针刺联合生物反馈训练法组50例。生物反馈训练法组实施生物反馈训练法治疗;针刺联合生物反馈训练法组实施针刺联合生物反馈训练法治疗。治疗前后观察排便不尽感、排便困难、肛门疼痛、肛门梗阻等症状改善情况,测定肛管直肠压力,进行排粪造影检查,比较两组患者的临床疗效。结果两组治疗后排便不尽感、排便困难、肛门疼痛、肛门梗阻等症状较治疗前明显改善;治疗后针刺联合生物反馈训练法组排便不尽感、排便困难、肛门疼痛、肛门梗阻等症状改善效果明显优于生物反馈训练法组。两组治疗后肛管最大收缩压、直肠感觉阈值、初始便意感容量、最大耐受容量均较治疗前明显降低;治疗后针刺联合生物反馈训练法组肛管最大收缩压、直肠感觉阈值、初始便意感容量、最大耐受容量明显低于生物反馈训练法组。两组治疗后力排相肛直角较治疗前明显升高;耻骨直肠肌压迹长度、耻骨直肠肌压迹深度较治疗前明显降低。针刺联合生物反馈训练法组治疗后力排相肛直角明显高于生物反馈训练法组;耻骨直肠肌压迹长度、耻骨直肠肌压迹深度明显低于生物反馈训练法组。针刺联合生物反馈训练法组的临床总有效率为98%,对照组为92%,差异有显著性。结论针刺联合生物反馈训练法优化盆底痉挛综合征的临床治疗效果,能够重建正常排便反射,直接针对病变部位,有效纠正了排便时肛门直肠及盆底肌肉的异常活动,显著改善临床不适症状。
Objective To investigate the feasibility of acupuncture and biofeedback training method in the treatment of spastic pelvic floor syndrome,and optimize clinical outcomes. Method 100 patients with spastic pelvic floor syndrome A group and B group,A group were given biofeedback training method,1 time / d,sustained for seven consecutive times when strengthening Phase,1 time / 3d,sustained three weeks when consolidation phase,B group were given acupuncture and biofeedback training method,acupuncture for 5d one week,two weeks for a course,had been treated for two courses,the clinical symptoms including Poor stool,constipation,anal pain,anal obstruction were observed before and after treatment,detected anorectal pressure,made a defecography and compared the clinical efficacy. Result The poor stool,constipation,anal pain,anal obstruction of B group and A group after treatment were better than before treatment. The poor stool,constipation,anal pain,anal obstruction of B group after treatment were better than A group. The anal canal maximum systolic blood pressure,rectal sensation threshold,initial feeling they intended capacity,maximum tolerated capacity of B Group and A Group after treatment were significantly lower than before treatment. The anal canal maximum systolic blood pressure,rectal sensation threshold,initial feeling they intended capacity,maximum tolerated capacity of B Group after treatment were significantly lower than A Group.The anorectal angle of resting phase of B group and A group after treatment were higher than before treatment. The length and depth of anorectal angle were lower than before treatment. The anorectal angle of resting phase of B group after treatment were higher than A group. The length and depth of anorectal angle were lower than A group. The clinical total effective rate of B group was 98%,the control group was 92%,the difference was statistically significant.Conclusion The method containing acupuncture with biofeedback training can optimize the therapeutic effect of spastic pelvic flo
出处
《中国临床医生杂志》
2015年第3期43-46,共4页
Chinese Journal For Clinicians
关键词
盆底痉挛综合征
针刺
生物反馈训练法
Pelvic floor spasm syndrome Acupuncture Biofeedback training method