第九十七期:经颅微电流刺激联合生物反馈对功能性便秘患者临床症状和生活质量的影响
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经颅微电流刺激联合生物反馈对功能性便秘患者临床症状和生活质量的影响
作者:龚兵艳 马红梅 臧小英
临床单位:南开大学人民医院护理部 南开大学人民医院肛肠科

摘要
目的:
探讨经颅微电流刺激(cranial electrotherapy stimulation, CES)联合生物反馈疗法(biofeedback therapy, BFT)对功能性便秘(functional constipation, FC)患者临床症状和生活质量的影响。

方法:选取符合纳入标准的FC患者作为研究对象, 共126例完成研究, 其中实验组64例,对照组62例。实验组在接受BFT治疗的同时,联合CES疗法;对照组仅接受BFT治疗。在治疗前和治疗后,根据临床症状积分和总体有效率比较两组的治疗效果,采用汉化版简明健康调查问卷(the Short Form-36 Health Survey, SF-36)对两组患者的生活质量进行比较。

结果:干预后,实验组的临床症状总积分、排便困难及排便不尽感的得分明显低于对照组(P<0.05);实验组总有效率(43.65%)高于对照组(36.51%)(P<0.05);干预后实验组在总体健康、生理功能、情感职能、躯体疼痛、活力及精神健康方面的得分明显高于对照组(P<0.05)。

结论:CES联合BFT可明显改善FC患者的临床症状,提高其生活质量,值得临床应用。

Effect of cranial electrotherapy stimulation combined with biofeedback therapy on clinical symptoms and quality of life in patients with functional constipation
Gong Bing-Yan, Ma Hong-Mei, Zang Xiao-Ying, et al.
School of Nursing, Tianjin Medical University,
Department of Nursing, People's Hospital of Nankai University

Abstract
Aim:
To explore the effect of cranial electrotherapy stimulation (CES) combined with biofeedback therapy (BFT) on clinical symptoms and quality of life in patients with functional constipation (FC).

Methods: A total of 126 subjects with FC were included and divided into either a control group (n=62) or an experimental group (n=64). The control group was given BFT alone, and the experimental group received CES combined with BFT. The clinical symptom score was recorded, and the 36-Item Short Form-36 Health Survey (SF-36) was used to assess the quality of life.

Result: After treatment, the experimental group revealed a much more significant decrease in overall symptom score and scores of difficult defecation and sensation of incomplete evacuation compared to the control group (P<0.05). In the experimental group, the total effective rate was 43.65%, significantly higher than 36.51% in the control group (P<0.05). The subcategories of SF-36 including general health perceptions, physical functioning, emotional role functioning, bodily pain, vitality and mental health in the experimental group displayed a significant increase compared with the control group after treatment (P<0.05).

Conclusion: CES combined with BFT can improve clinical symptoms and quality of life in FC patients.

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