| 生物反馈联合舒肛汤中药坐浴治疗功能性肛门直肠痛的效果 |
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| 引用本文： | 钟志凤,蔡成,吕敏,朱文君,何钦,葛琛阳,赵栋.生物反馈联合舒肛汤中药坐浴治疗功能性肛门直肠痛的效果[J].中华全科医学,2020,18(1):56. |
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| 作者姓名： | 钟志凤 蔡成 吕敏 朱文君 何钦 葛琛阳 赵栋 |
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| 作者单位： | 1. 金华市中心医院(浙江大学金华医院)结直肠肛门外科, 浙江 金华 321000; |
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| 基金项目： | 2019年度金华市科学技术研究计划项目(2019-4-013)2019年度浙江省公益技术应用研究计划项目(LGF19H010008) |
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| 摘 要： | 目的 研究生物反馈联合舒肛汤中药坐浴治疗功能性肛门直肠痛的效果,旨在探讨临床治疗该病的有效疗法。 方法 根据现状调查自2018年9月—2019年8月收集金华市中心医院门诊功能性肛门直肠痛的患者100例,采用随机数字表法分为观察组与对照组,各50例,对照组采用单纯的生物反馈疗法,观察组在生物反馈疗法基础上联合舒肛汤中药温水坐浴治疗,对比2组患者的治疗效果,包括疼痛视觉模拟评分(VAS)、肛门直肠压力、盆底功能、症状积分以及临床疗效。 结果 观察组治疗后的VAS评分为(1.6±1.0)分,低于对照组的(2.5±1.3)分(t=3.880,P<0.001);观察组治疗后的直肠静息压、肛管静息压、最大缩榨压均小于对照组(均P<0.05);观察组治疗后的放松状态AVG、快速收缩AVG Peak、间断收缩AVG、肌电变异性CV均优于对照组(均P<0.05);观察组治疗后的症状积分为(14.6±7.0)分,低于对照组的(18.2±7.6)分(t=2.464,P=0.016);观察组的总有效率(92.0%)高于对照组(74.0%),χ2=5.741,P=0.017。 结论 生物反馈联合舒肛汤中药坐浴治疗功能性肛门直肠痛的效果显著,可明显减轻患者疼痛,降低肛门直肠压力,提高盆底功能,减少症状积分,值得临床推行。
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| 关 键 词： | 生物反馈 舒肛汤 中药坐浴 功能性肛门直肠痛 肛门直肠压力 盆底功能 |
| 收稿时间： | 2019-09-20 |
Effect of biofeedback therapy combined with Shugang Decoction hip bath on functional anorectal pain |
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| Affiliation: | 1. Department of Colorectal and Anal Surgery, Jinhua Central Hospital, Jinhua, Zhejiang 321000, China |
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| Abstract: | Objective To study the effect of biofeedback therapy combined with Shugang Decoction hip bath in the treatment of functional anorectal pain, and further to explore an effective therapy for such diseases. Methods A total of 100 patients with functional anorectal pain in the Outpatient Department of Jinhua Central Hospital from September 2018 to August 2019 were collected and randomly divided into observation group and control group, with 50 cases each group. The control group received the biofeedback therapy, while the observation group received additional Shugang Decoction on the basis of biofeedback therapy. Pain visual analogue scale(VAS), anorectal manometry, pelvic floor function test, symptom score and clinical efficacy were compared between the two groups. Results After the treatment, the VAS score in the observation group was(1.6±1.0), which was lower than that(2.5±1.3) in the control group, t=3.880, P<0.001; the rectal resting pressure, anal resting pressure and maximum contraction pressure in the observation group were lower than those in the control group, all P<0.05; the relaxation state AVG, rapid contraction AVG Peak, intermittent contraction AVG, and coefficient of variation(CV) in the observation group were better than those in the control group, all P<0.05; the symptom score of the observation group was(14.6±7.0), which was lower than that(18.2±7.6) of the control group, t=2.464, P=0.016; the total effective rate of the observation group(92.0%) was higher than that of the control group(74.0%), χ2=5.741, P=0.017. Conclusion Biofeedback therapy combined with Shugang Decoction hip bath has a significant effect on functional anorectal pain. It can obviously relieve pain of patients, reduce anal and rectal pressure, improve pelvic floor function and reduce symptom scores. It is worthy of clinical implementation. |
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