摘要
目的探讨直肠癌术后盆底肌肉功能障碍患者采用肌电生物反馈治疗的效果。方法选取威海市立第二医院2021年1月—2023年1月收治的80例直肠癌术后盆底肌肉功能障碍患者为研究对象,采用随机数字表法将其分为对照组和观察组。对照组(n=40)进行盆底功能训练,观察组(n=40)在对照组基础上采用肌电生物反馈治疗。比较两组患者治疗前后的盆底功能、肛门直肠功能及生活质量。结果治疗前,两组的盆底功能障碍问卷(PFDI-20)总评分比较,差异无统计学意义(P>0.05);治疗2个月后,观察组的PFDI-20总评分为(17.87±5.62)分,低于对照组的(33.94±7.36)分,差异有统计学意义(P<0.05)。治疗前,两组的肛门直肠功能评分比较,差异无统计学意义(P>0.05);治疗2个月后,观察组的肛门直肠功能评分为(8.62±1.27)分,高于对照组的(6.54±2.18)分,差异有统计学意义(P<0.05)。治疗前,两组的结直肠癌治疗功能评价系统(FACT-C)总评分比较,差异无统计学意义(P>0.05);治疗2个月后,观察组的FACT-C总评分为(152.85±8.16)分,高于对照组的(126.14±11.73)分,差异有统计学意义(P<0.05)。结论直肠癌术后盆底肌肉功能障碍患者采用肌电生物反馈治疗,能减轻盆底功能障碍,改善肛门直肠功能,提高生活质量。
Objective To investigate the effect of myoelectric biofeedback therapy on pelvic floor muscle dysfunction after rectal cancer surgery.Methods Eighty patients with pelvic floor muscle dysfunction after rectal cancer surgery admitted to Weihai Municipal Second Hospital from January 2021 to January 2023 were selected as the research objects,and were divided into a control group and an observation group by random number table method.The control group(n=40)received pelvic floor function training,and the observation group(n=40)received myoelectric biofeedback therapy on the basis of the control group.The pelvic floor function,anorectal function and quality of life of the two groups were compared before and after treatment.Results Before treatment,there was no significant difference in total pelvic floor distress inventory-20(PFDI-20)scores between the two groups(P>0.05);after 2 months of treatment,the total PFDI-20 score of the observation group was(17.87±5.62)points,which was lower than(33.94±7.36)points of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the anorectal function scores between the two groups(P>0.05);after 2 months of treatment,the anorectal function score in the observation group was(8.62±1.27)points,higher than(6.54±2.18)points in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the total functional assessment cancer therapy-colorectal(FACT-C)scores between the two groups(P>0.05);after 2 months of treatment,the total FACT-C score of the observation group was(152.85±8.16)points,which was higher than(126.14±11.73)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Myoelectric biofeedback therapy can alleviate pelvic floor dysfunction,improve anorectal function and improve quality of life in patients with pelvic floor muscle dysfunction after rectal cancer surgery.
作者
黄斌
孙小棉
HUANG Bin;SUN Xiaomian(Department of General Surgery,Weihai Municipal Second Hospital,Weihai 264200,China)
出处
《反射疗法与康复医学》
2024年第15期37-40,共4页
Reflexology And Rehabilitation Medicine
关键词
直肠癌
术后
盆底肌肉功能障碍
肌电生物反馈
Rectal cancer
Postoperative
Pelvic floor muscle dysfunction
Myoelectric biofeedback
