生物反馈疗法联合认知行为干预治疗功能性排便障碍的临床疗效分析

缪国凤; 金捷; 张奕秉; 朱丽明; 陈玲淑

doi:10.19428/j.cnki.sjpm.2019.19359

生物反馈疗法联合认知行为干预治疗功能性排便障碍的临床疗效分析

Clinical efficacy of biofeedback therapy combined with cognitive behavioral intervention for functional defecation disorder

摘要

摘要:
目的探讨生物反馈疗法联合认知行为干预治疗功能性排便障碍的临床疗效。
方法选取功能性排便障碍患者50例，分为治疗组26例和对照组24例。治疗组采用生物反馈疗法联合认知行为干预治疗，对照组采用单纯生物反馈治疗。比较两组治疗前后患者便秘症状积分和健康调查简表(SF-36)评分的改善结果；对两组疗效进行临床评定。
结果治疗组便秘症状积分改善总有效率为92.3%，高于对照组的70.8%(P＜0.05)。治疗组健康调查简表评分(SF-36)在社会功能、情感职能、精神健康方面的改善优于对照组(P＜0.05)。
结论生物反馈疗法联合认知行为干预治疗功能性排便障碍能显著改善患者的临床症状和提高其生活质量，值得扩大研究和初步临床推广。

Abstract:
ObjectiveTo explore the clinical efficacy of biofeedback therapy combined with cognitive behavioral intervention for functional defecation disorder.
MethodsA series of 50 patients with functional defecation disorder were enrolled and divided into treatment group (n=26) and control group (n=24).The treatment group was treated with biofeedback therapy combined with cognitive behavioral intervention, and the control group was treated with biofeedback alone.The results of the improvement of constipation symptom scores and the health survey (SF-36) scores before and after treatment were recorded and compared between the two groups.
ResultsThe total effective rate of constipation symptom score in the treatment group was 92.3% higher than that in the control group 70.8% (P < 0.05).The SF-36 scores of social function, emotional function and mental health of the treatment group was higher than that of the control group (P < 0.05).
ConclusionBiofeedback therapy combined with cognitive behavioral intervention therapy for functional defecation disorder can significantly improve patients′ clinical symptoms and their quality of life.

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