慢性功能性秘肛直肠压力.docVIP

世界华人消化杂志 2004年 3月15日;12(3):730-733 慢性功能性便秘肛直肠压力检测EMG生物反馈训练的疗效 杨柳明, 林济宝, 赵延龙, 梁绛菱, 林 红, 钟 智, 陈荣伟, 谢俊芳, 刘付妍, 吴志荣 杨柳明, 林济宝, 赵延龙, 梁绛菱, 林红, 钟智, 陈荣伟, 谢俊芳, 刘付妍, 吴志荣, 广东省廉江市人民医院消化内科 广东省廉江市 524400杨柳明, 男, 1963-03-23生, 黑龙江莫旗人, 汉族. 1987年内蒙古医学院本科毕业, 1997年哈尔滨医科大学硕士研究生毕业, 副主任医师, 主要从事消化系统疾病的临床工作.广东省卫生厅科学技术研究基金资助课题, No. 990112项目负责人: 杨柳明, 524400, 广东省廉江市人民大道160号, 廉江市人民医院消化内科. zjylm68@163.net电话: 传真: Effects of biofeedback training by EMG on patients with chronic functional constipationLiu-Ming Yang, Ji-Bao Lin, Yan-Long Zhao, Jiang-Ling Liang, Hong Lin, Zhi Zhong, Rong-Wei Chen, Jun-Fang Xie, Fu-Yan Liu, Zhi-Rong WuLiu-Ming Yang, Ji-Bao Lin, Yan-Long Zhao, Jiang-Ling Liang, Hong Lin, Zhi Zhong, Rong-Wei Chen, Jun-Fang Xie, Fu-Yan Liu, Zhi-Rong Wu, Department of Gastroenterology, Lianjiang People’s Hospital, Lianjiang 524400, Guangdong Province, ChinaCorrespondence to: Dr. Liu-Ming Yang, Department of Gastroenterology, Lianjiang People’s Hospital, Lianjiang 524400, Guangdong Province, China. zjylm68@163.netReceived: 2002-01-16 Accepted: 2002-01-23AbstractAIM: To study characteristics of anorectal pressure, EMG activity and effect of biofeedback training system on patient with chronic functional constipation (CFC).METHODS: Anorectal manometry was carried out in 144 cases of CFC by a monitor system (liquid-phase type) and Biolab dynamics parameter before and after the biofeedback training. 20 healthy individuals were taken as control.RESULTS: Compared with controls, CFC patients showed slightly lower anal quiesent pressure (P 0.05), lower anorectal sphincteric squeezing pressure (15.7±1.4 vs 12.7± 1.4) (P 0.01), higher rectal defection volume thresholds and higher rectal maximum talerable volume thresholds (12±6.2 vs 14.9±6.6; 29.3±6.8 vs 36.0±7.3) (P 0.01; P 0.01); EMG assessments showed that 100% patients with CFC had the contradictory movement between the pelvic floor muscle (PFM) and abdominal anterior oblique muscle (AAOM). The movement extent of the P