摘要
盆底失弛缓型便秘以排便困难、排空不完全为主要症状,同时还可能伴随肛门坠胀、疼痛、手法辅助排便、排尿和性功能障碍等,患者往往对泻药等常规治疗效果不佳。生物反馈疗法是近年来治疗盆底失弛缓型便秘的新兴疗法,近年的盆底失弛缓型便秘研究表明,通过监测盆底肌肉活动并提供实时反馈,可以有效改善患者的症状。随着技术的不断进步,生物反馈治疗设备的精度和便携性逐渐提高,使其在临床应用中更加方便和有效,然而单一生物反馈起效较慢,容易影响患者治疗信心。同时,研究发现生物反馈治疗与其他治疗方法结合应用,可以取得更好的疗效。本文就国内外生物反馈联合治疗的疗效现状展开综述,探讨其生物机制和各自效果,以期为盆底失弛缓型便秘患者提供更加有效的治疗方案。
The main symptoms of dyssynergic defecation are difficult defecation and incomplete emptying,and may also be accompanied by anal swelling,pain,manual assisted defecation,urination and sexual dysfunction,etc.Patients often have poor effects on conventional treatment such as laxatives.Biofeedback therapy is an emerging therapy for dyssynergic defecation in recent years.The researches of dyssynergic defecation in recent years show that patients'symptoms can be effectively improved by monitoring pelvic floor muscle activity and providing real-time feedback.With the continuous progress of technology,the accuracy and portability of biofeedback therapeutic equipment has gradually improve,making it more convenient and effective in clinical application.However,the single biofeedback effect is slow,which easily affects the patient's treatment confidence.At the same time,the study has found that biofeedback therapy can be combined with other treatment methods to achieve better efficacy.This paper reviews the efficacy status of biofeedback combination therapy at home and abroad,and discusses the biological mechanism and their respective effects,in order to provide more effective treatment options for patients with dyssynergic defecation.
作者
袁泽峰
程敏静
陈强
王勃
孔斌
YUAN Zefeng;CHENG Minjing;CHEN Qiang;WANG Bo;KONG Bin(The Third Hospital of Hebei Medical University,Shijia-zhuang 050000,Hebei,China)
出处
《实用医学杂志》
CAS
北大核心
2024年第24期3568-3574,共7页
The Journal of Practical Medicine
基金
河北省省级优秀人才培养项目(编号:冀卫科[2021]9号)。
关键词
生物反馈
盆底失弛缓型便秘
功能型便秘
联合治疗
新进展
biofeedback
dyssynergic defecation
functional constipation
combined treatment
breakthrough
