第九十三期:肌电生物反馈技术治疗肠易激综合征的临床观察
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肌电生物反馈技术治疗肠易激综合征的临床观察
作者:赵久华 米永刚 董一鸣
临床单位:南京市浦口医院消化内科 江苏南京浦口中心医院

摘要
目的:评价肌电生物反馈技术治疗肠易激综合征(IBS)的疗效。

方法:将60例IBS患者随机分为试验组和对照组,两组均给予胃肠促动力药、肠道菌群调节药及植物神经调节药等常规药物治疗,试验组在此基础上给予为期4周的肌电生物反馈治疗。治疗前后分别对两组患者做抑郁自评量表(SDS)、焦虑自评量表(SAS)胃肠道症状评定量表(GSRS)评分及内脏痛觉阈值测定。

结果:治疗4周后,与对照组相比,试验组SDS、SASGSRS评分显著下降(P<0.05),内脏痛觉阈值明显升高(P<0.05)。

结论:肌电生物反馈技术治疗IBS可明显改善患者心理障碍,降低患者内脏高敏感性,减轻患者胃肠道症状。

Clinical observation of electromyographic biofeedback on irritable bowel syndrome
ZHAO Jiu-hua, MI Yong-gang, DONG Yi-ming
Department of Gastroenterology, Nanjing Pukou Hospital
Department of Internal Medicine, Nanjing Pukou Central Hospital


Abstract
Objective: To evaluate the efficacy of electromyographic biofeedback on irritable bowel syndrome (IBS).

Methods: A total of 60 patients with IBS were enrolled and randomized into trial group and control group. Similar dosage of gastrointestinal prokinetie agent, microecological modulator of intestinal flora and modulator of autonomic nerve were administered as baseline therapy in both groups. The patients in trial group were treated with electromyographic biofeedback therapy for 4 weeks. Self-rating depression scale(SDS), self-rating anxiety scale(SAS), gastrointestinal symptoms rating scale(GSRS) and the threshold of visceralgia were evaluated before and after treatment.

Results: After treatment, compared with the control group, the scores of SDS, SAS and GSRS in trial group declined significantly (P<0.05); the threshold of visceralgia increased significantly (P<0.05).

Conclusion: Electromyographic biofeedback therapy can improve the psychological disorder, visceralgia hypersensitivity and gastrointestinal symptoms on IBS.

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