EFFICACY OF BIOFEEDBACK TRAINING IN IMPROVING FECAL INCONTINENCE AND ANORECTAL PHYSIOLOGICAL-FUNCTION
EFFICACY OF BIOFEEDBACK TRAINING IN IMPROVING FECAL INCONTINENCE AND ANORECTAL PHYSIOLOGICAL-FUNCTION
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DOI：
10.1136/gut.31.12.1395
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发表时间：
1990-12-01
期刊：
影响因子：
24.5
通讯作者：
LOENINGBAUCKE, V
中科院分区：
文献类型：
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作者：
LOENINGBAUCKE, V
对8例大便失禁患者进行生物反馈训练和药物治疗，评价生物反馈治疗对大便失禁和肛门直肠功能的疗效。结果和肛门直肠功能进行了比较，9粪便失禁患者谁接受单独的药物治疗。 随访3个月，生物反馈加常规治疗组有50%的患者好转，常规治疗组有56%的患者好转。 一年的随访显示，生物反馈组中有13%没有污染，另外25%有改善。 常规治疗组的结果相似- 11%没有污染，另外44%得到改善。 与对照组相比，两组患者在静息和挤压时的肛门压力、引起肛门内外括约肌持续抑制的直肠扩张量以及经肛门至直肠输注的盐水均显著降低（p < 0.05）。 生物反馈治疗对改善或未改善的患者的肛门直肠功能异常均无影响。 大便失禁的改善可能是由于医疗干预或症状随时间的消退，或两者兼而有之，而不是生物反馈训练的结果。
The efficacy of biofeedback treatment on faecal incontinence and anorectal function was evaluated in eight patients with faecal incontinence treated with biofeedback training and medical therapy. Outcome and anorectal function were compared with nine faecal incontinent patients who received medical therapy alone. Three month follow up showed that 50% of patients in the biofeedback plus conventional treatment group and 56% of those treated conventionally only had improved. One year follow up showed that 13% in the biofeedback group were free of soiling and an additional 25% had improved. The results were similar in the conventionally treated group - 11% were free of soiling and an additional 44% improved. Anal pressures at rest and squeeze, the rectal distension volume that induced sustained inhibition of both the external and internal anal sphincter, and continence to rectally infused saline were significantly reduced in both groups of patients compared with controls (p < 0.05). Biofeedback treatment had no effect on these abnormal anorectal functions in either patients who improved or those who did not. The improvement in faecal incontinence was probably due to medical intervention or regression of symptoms with time, or both, and not the result of biofeedback training.