生物反馈结合心理干预治疗慢性肛门直肠痛的临床研究

张大景; 蓝静; 宗轶; 文美珠; 郑伟琴

doi:10.3969/j.issn.1671-038X.2015.08.03

生物反馈结合心理干预治疗慢性肛门直肠痛的临床研究

- 深圳市宝安区福永人民医院肛肠科, 广东深圳 518103
基金项目:
广东省深圳市科技计划项目(No:201303134)

深圳市宝安区科技创新局科技计划项目(No:2014163)

详细信息

作者简介:
张大景,男,医学硕士,主治医师,主要从事肛肠良性疾病和功能性胃肠疾病的诊断与治疗

通讯作者: 张大景,E-mail:22355742@qq.com

中图分类号: R574.8

收稿日期: 2015-03-12

Biofeedback combined with psychological intervention in the treatment of patients with chronic proctalgia

- Department of Coloproctological Surgery, Fuyong People's Hospital, Bao'an District of Shenzhen, Shenzhen 518103, China

More Information

Corresponding author: ZHANG Da-jing, E-mail: 22355742@qq.com

Received Date: 12 March 2015

摘要

摘要: [目的]探讨生物反馈结合心理干预治疗慢性肛门直肠痛的临床疗效。[方法]将62例功能性慢性肛门直肠痛患者分为2组,对照组实施生物反馈治疗,试验组在生物反馈治疗的基础上进行个体化心理干预措施。记录治疗期间的视觉模拟评分(VAS)、肛肠动力学数据、焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。[结果]慢性肛门直肠痛患者SAS、SDS评分高于国内常模组(P<0.05),2组患者治疗后疼痛评分明显低于治疗前(P<0.05),治疗后试验组肛管静息压和精神心理评分明显低于对照组(P<0.05)。[结论]盆底肌高张力和心理因素与慢性肛门直肠痛的发病有着十分密切的联系,生物反馈结合个性化心理干预能够有效缓解患者疼痛情况和盆底高张力状态,明显改善焦虑抑郁等情绪,提高其生活质量,而且无不良反应。
- 慢性肛门直肠痛 /
- 心理干预 /
- 生物反馈
Abstract: [Objective]This study was designed to investigate the clinical effect of biofeedback therapy combined with psychological intervention in the management of chronic proctalgia.[Methods]Sixty-two patients with chronic proctalgia were included. Thirty-one patients with chronic proctalgia were treated by biofeedback therapy in the control group,other 31 patients in experimental group were combined with individualized psychological intervention. All patients were evaluated by visual analogue scale(VAS),anorectal manometry testing,self-rating depression scale(SDS)and self-rating anxiety scale(SAS)during treatment.[Results]Patients with chronic proctalgia had higher SDS and SAS than those in the domestic common cases group(P<0.05). Compared with those scales before treatment,the scores in two groups were significant reduced in VAS(P<0.05). After treatment,there were significantly lower anal resting pressure and psychological evaluation results in experimental group,compared with patients in the control group(P<0.05).[Conclusion]Pelvic floor high tension and psychological factors play important roles on onset of chronic proctalgia. Biofeedback therapy combined with individualized psychological intervention was effective in pain and pelvic floor high tension relief,which can significantly reduce psychological disorder,and improve quality of life,with no side effects.
- chronic proctalgia /
- psychological intervention /
- biofeedback

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参考文献(9)

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