结肠水疗联合盆底生物反馈治疗功能性便秘临床疗效观察.docxVIP

结肠水疗联合盆底生物反馈治疗功能性便秘临床疗效观察 金海波 项雄华 石清华 魏华 卿艳平 吴为明 蔡张愉 李通 [摘要] 目的 观察结肠水疗联合生物反馈治疗对功能性便秘的临床疗效。 方法 选取20XX年6月～20XX年6月我院功能性便秘患者85例并随机分为甲乙两组。甲组患者实施盆底生物反馈治疗，共37例;乙组患者实施结肠水疗联合盆底生物反馈治疗，共48例。比较甲乙两组患者治疗费用、治疗时间、复诊次数等指标。 结果 甲组患者的治疗费用、治疗时间、复诊次数和治疗后半年内复发率均显著高于乙组（P0.05），而乙组患者治疗有效率和满意度显著高于甲组（P0.05）。 结论 结肠水疗联合盆底生物反馈治疗功能性便秘具有无创、无药物依赖、治疗时间较短、费用低、复发率低且患者满意度高等优势，值得临床推广应用。 [关键词] 结肠水疗;生物反馈治疗;功能性便秘;盆底肌电测定 [中图分类号] R574.62 [文献标识码] B [文章编号] 1673-9701（2020）09-0123-04 [Abstract] Objective To observe the clinical efficacy of colon hydrotherapy combined with pelvic floor biofeedback therapy for functional constipation. Methods 85 patients with functional constipation in our hospital from June 20XX to June 20XX were randomly divided into group A and B. The patients in group A（n=37） underwent pelvic floor biofeedback therapy. The patients in group B（n=48） underwent colon hydrotherapy combined with pelvic floor biofeedback therapy. The treatment costs， treatment time， and number of visits between the two groups were compared. Results The treatment cost， treatment time， number of re-examinations and recurrence rate within six months after treatment were significantly higher in group A than those in group B（P0.05）， while group B patients had significantly higher treatment efficiency and satisfaction than group A（P0.05）. Conclusion Colon hydrotherapy combined with pelvic floor biofeedback therapy for functional constipation has the advantages of non-invasive， drug-free， short treatment time， low cost， low recurrence rate and high patient satisfaction. It is worthy of clinical application. [Key words] Colon hydrotherapy; Biofeedback therapy; Functional constipation; Pelvic floor electromyography 功能性便秘（function constipation，FC）是指排除系統性疾病、代谢性疾病、器质性疾病以及明确的形态结构异常证据和明确的药物因素的慢性便秘。世界胃肠组织将功能性便秘分为慢传输型便秘、排便障碍型便秘和便秘型肠易激综合征[1]。普通人群中功能性便秘发病率高达27%，在我国功能性便秘的发病率为3.19%～11.60%，老年人发病率尤高，在20.3%～40.1%[2，3]。目前治疗功能性便秘的种类繁多，除了便秘型肠易激综合征因肛门直肠的功能都属正常仅需要饮食和心理因素调整外，其他两型便秘的治疗方法包括药物治疗、物理治疗以及