| 李 慧,姚 翠,封益飞,华倩雯,黄 瑞.个体化生物反馈训练联合早期排便功能训练对低位直肠癌保肛术后患者肠道功能、肛肠动力学和生活质量的影响[J].现代生物医学进展英文版,2022,(19):3660-3664. |
| 个体化生物反馈训练联合早期排便功能训练对低位直肠癌保肛术后患者肠道功能、肛肠动力学和生活质量的影响 |
| Effects of Individualized Biofeedback Training Combined with Early Defecation Function Training on Intestinal Function, Anorectal Dynamics and Quality of Life in Patients with Low Rectal Cancer after Anus Preserving Surgery |
| Received:March 10, 2022 Revised:April 05, 2022 |
| DOI：10.13241/j.cnki.pmb.2022.19.011 |
| 中文关键词: 低位直肠癌保肛术 早期排便功能训练 个体化生物反馈训练 肛肠动力学 肠道功能 生活质量 |
| 英文关键词: Low rectal cancer after anus preserving surgery Early defecation function training Individualized biofeedback training Anorectal dynamics Intestinal function Quality of life |
| 基金项目:江苏省自然科学基金项目（BK20171691） |
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| 中文摘要: |
| 摘要 目的：探讨个体化生物反馈训练联合早期排便功能训练对低位直肠癌保肛术后患者肠道功能、肛肠动力学和生活质量的影响。方法：纳入我院2018年4月~2021年9月期间收治的90例行低位直肠癌保肛术患者。按照住院号奇偶数将患者分为对照组（早期排便功能训练，45例）和研究组（对照组基础上结合个体化生物反馈训练，45例）。对比两组肠道功能、肛肠动力学和生活质量、肛门失禁情况及控便满意度。结果：两组干预后排便受饮食影响、便频便急、排便感觉异常评分均下降，但研究组高于对照组（P<0.05）。两组干预后健康调查量表简表（SF-36）各维度评分均升高，且研究组高于对照组（P<0.05）。研究组的肛门失禁例数少于对照组，控便满意度则高于对照组（P<0.05）。两组干预后肛管静息压、肛管最大收缩压、直肠最大耐受容量均下降，但研究组高于对照组（P<0.05）。结论：个体化生物反馈训练联合早期排便功能训练可促进低位直肠癌保肛术后患者肠道功能恢复，改善肛肠动力学和生活质量，减少肛门失禁情况发生，控便满意度较好。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effects of individualized biofeedback training combined with early defecation function training on intestinal function, anorectal dynamics and quality of life in patients with low rectal cancer after anus preserving surgery. Methods: 90 patients with low rectal cancer who were treated in our hospital from April 2018 to September 2021 were included. According to the order of admission, the patients were divided into control group (early defecation function training, 45 cases) and study group (based on the control group combined with individualized biofeedback training, 45 cases). The intestinal function, anorectal dynamics and quality of life, anal incontinence and fecal control satisfaction were compared between the two groups. Results: After intervention, the scores of defecation affected by diet, frequent and urgent defecation and abnormal defecation sensation in the two groups decreased, but the study group was higher than the control group (P<0.05). After intervention, the scores of all dimensions of the short form of health survey scale (SF-36) in the two groups increased, and the study group was higher than the control group (P<0.05). The number of cases of anal incontinence in the study group was less than that in the control group, and the fecal control satisfaction was higher than that in the control group (P<0.05). After intervention, the resting pressure of anal canal, the maximum systolic pressure of anal canal and the maximum tolerance capacity of rectum decreased in the two groups, but the study group was higher than the control group (P<0.05). Conclusion: Individualized biofeedback training combined with early defecation function training can promote the recovery of intestinal function, improve anorectal dynamics and quality of life, reduce the occurrence of anal incontinence, and achieve better satisfaction with defecation control. |
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