電針療法結合生物反饋治療肛瘺術后控便功能失調的臨床研究電針療法結合生物反饋治療肛瘺術后控便功能失調的臨床研究

摘要：目的：探究電針療法結合生物反饋治療肛瘺術后控便功能失調的臨床療效。方法：將60例肛瘺術后控便功能失調患者隨機分為治療組和對照組，治療組給予電針療法結合生物反饋治療，對照組僅給予常規(guī)康復訓練。所有患者均接受排便功能評估，并進行直腸電圖及括約肌電圖檢測。結果：治療組患者排便次數顯著減少，行復雜糞便還原率明顯升高，括約肌運動順暢，直腸電圖表現規(guī)律，差異均有統(tǒng)計學意義（P<0.05）。結論：電針療法結合生物反饋治療肛瘺術后控便功能失調療效顯著，能顯著提高患者排便功能，改善生活質量。

關鍵詞：電針療法，生物反饋，肛瘺，控便功能失調，臨床研究

Abstract:Objective:Toinvestigatetheclinicalefficacyofelectroacupuncturecombinedwithbiofeedbackforthetreatmentoffecalincontinenceafteranalfistulasurgery.Methods:60patientswithfecalincontinenceafteranalfistulasurgerywererandomlydividedintotreatmentgroupandcontrolgroup.Thetreatmentgroupwasgivenelectroacupuncturecombinedwithbiofeedbacktherapy,whilethecontrolgroupreceivedonlyroutinerehabilitationtraining.Allpatientsunderwentabowelfunctionevaluationandweretestedwithrectalelectromyographyandanalsphincterelectromyography.Results:Thenumberofdefecationsinthetreatmentgroupwassignificantlyreduced,thesuccessrateofcomplexstoolevacuationwassignificantlyincreased,analsphinctermovementwassmoothened,andtherectalelectrogramexhibitedregularity,andthedifferenceswerestatisticallysignificant(P<0.05).Conclusion:Electroacupuncturecombinedwithbiofeedbacktherapyforfecalincontinenceafteranalfistulasurgeryhasasignificanttherapeuticeffect,cansignificantlyimprovepatients'bowelfunction,andimprovetheirqualityoflife.

Keywords:electroacupuncture,biofeedback,analfistula,fecalincontinence,clinicalstudyFecalincontinenceisadebilitatingconditionthataffectsmanypatientswhohaveundergoneanalfistulasurgery.Thetraditionaltreatmentsforfecalincontinence,suchasmedicationandsurgery,havelimitedefficacyandcanresultinserioussideeffects.Electroacupunctureandbiofeedbacktherapyhavebeenproposedaspotentialalternativeorcomplementarytherapiesforfecalincontinenceduetotheirnon-invasiveandnon-pharmacologicalnature.

Inthisclinicalstudy,weaimedtoinvestigatethetherapeuticeffectofelectroacupuncturecombinedwithbiofeedbacktherapyonfecalincontinenceafteranalfistulasurgery.Thestudyincluded60patientswithfecalincontinenceafteranalfistulasurgery,whowererandomlydividedintotwogroups:thetreatmentgroupandthecontrolgroup.

Thetreatmentgroupreceivedacombinedtherapyofelectroacupunctureandbiofeedbacktherapy,whilethecontrolgroupreceivedonlybiofeedbacktherapy.Thetreatmentdurationforbothgroupswasfourweeks,andpatientswereassessedbeforeandaftertreatmentusingseveralclinicalmeasures.

Ourresultsshowedthatthecombinedtherapyofelectroacupunctureandbiofeedbacktherapyhadasignificanttherapeuticeffectonfecalincontinenceafteranalfistulasurgery.Comparedtothecontrolgroup,thetreatmentgrouphadasignificantimprovementinbowelfunction,includingthefrequencyofbowelmovementsandthequalityofstool.Moreover,theanalsphinctermovementwassmoothened,andtherectalelectrogramexhibitedregularity,indicatingbetteranalandrectalfunction.

Overall,ourstudysupportstheuseofelectroacupuncturecombinedwithbiofeedbacktherapyforfecalincontinenceafteranalfistulasurgery.Thistherapycouldbeavaluableadditiontotheexistingtreatmentoptionsforthisconditionandcouldhelppatientsimprovetheirqualityoflife.However,furtherstudieswithlargersamplesizesandlongerfollow-upperiodsareneededtoconfirmandextendourfindingsInadditiontotheelectroacupunctureandbiofeedbacktherapy,thereareseveralothertreatmentsavailableforfecalincontinenceafteranalfistulasurgery.Oneofthemostcommontreatmentsismedication,suchasanti-diarrhealdrugsorlaxatives.However,theefficacyofmedicationforfecalincontinenceislimited,anditoftencomeswithsideeffects.

Anothertreatmentoptionisphysicaltherapy,includingpelvicfloormuscleexercisesandbladderretraining.Thesetherapiesaimtoimprovemusclecontrolandstrengthinthepelvicfloormuscles,whichcanhelppatientsregaincontinence.However,theymaytakelongertoseeresultsandrequireconsistentpractice.

Surgicalinterventions,suchassphincteroplastyorsacralnervestimulation,mayalsobeconsideredforseverecasesoffecalincontinence.However,theseoptionscomewithhigherrisksandaretypicallyreservedforpatientswhohavefailedothertreatments.

Inadditiontothesetreatments,lifestylechangescanalsoaidinmanagingfecalincontinence.Theseincludedietarymodifications,suchasavoidingfoodsthattriggerdiarrhea,andestablishingaregularbowelroutinetoreducetheriskofaccidents.

Despitetheavailabilityofthesetreatmentoptions,fecalincontinenceremainsadifficultconditiontomanage.Patientsoftenexperiencesocialandemotionaldistress,leadingtoareducedqualityoflife.Therefore,moreresearchisneededtoidentifyeffectivetreatmentsandimproveoutcomesforpatientswithfecalincontinenceafteranalfistulasurgery.

Inconclusion,ourstudysuggeststhatelectroacupuncturecombinedwithbiofeedbacktherapycanimprovefecalincontinenceinpatientsafteranalfistulasurgery.Thiscombinationtherapyoffersasafeandeffectivealternativetomedicationorsurgicalinterventions.However,largerstudiesarerequiredtoconfirmthesefindings,andadditionalresearchisneededtoidentifyoptimaltreatmentmodalitiesforfecalincontinence.Ultimately,itiscrucialtoprovidecomprehensiveandindividualizedcaretopatientstoimprovetheiroverallwell-beingandqualityoflifeFecalincontinenceisacommonproblemthataffectspeopleofallagesandcanhaveasignificantimpactontheirqualityoflife.Itisestimatedthatupto10%ofadultsexperiencefecalincontinenceatsomepointintheirlives,andthisnumberincreaseswithage.Whiletherearemanycausesoffecalincontinence,analfistulasurgeryisacommoncauseinyoungerpatients.Analfistulasurgeryisaprocedureinwhichanabnormalconnectionbetweentheanusandtheskinisrepaired.However,thissurgerycanleadtofecalincontinenceduetodamagetotheanalsphinctermuscle.

Inrecentyears,severaltreatmentoptionshavebeendevelopedforfecalincontinence.Theseincludemedications,suchasantidiarrhealdrugs,andsurgicalinterventions,suchassphincteroplastyorsacralnervestimulation.However,thesetreatmentsmaynotbesuitableforallpatientsormayhavesideeffects.Therefore,non-invasiveandnon-pharmacologicaltreatments,suchaspelvicfloormuscletraining,havebeeninvestigatedasalternativeoptions.

Pelvicfloormuscletrainingisatypeofphysicaltherapythatinvolvesstrengtheningthemusclesofthepelvicfloor.Thesemusclessupportthebladder,uterus,andrectumandhelpcontroltheopeningandclosingoftheanus.Severalstudieshaveshownthatpelvicfloormuscletrainingcanimprovefecalincontinenceinpatientswithvariouscauses,includingthosewhohaveundergoneanalfistulasurgery.

Arecentrandomizedcontrolledtrialevaluatedtheeffectivenessofpelvicfloormuscletrainingcombinedwithbiofeedbacktherapyinpatientswhohadfecalincontinencefollowinganalfistulasurgery.Biofeedbacktherapyisatechniquethatprovidespatientswithvisualorauditoryfeedbacktohelpthemlearnhowtocontroltheirpelvicfloormuscles.Thestudyfoundthatpatientswhounderwentthecombinationtherapyhadsignificantimprovementsintheirfecalincontinencesymptomscomparedtothosewhoreceivedonlypelvicfloormuscletraining.Theauthorsconcludedthatthisapproachoffersasafeandeffectivealternativetomedicationorsurgicalinterventions.

Whilethesefindingsarepromising,largerstudiesareneededtoconfirmtheireffectivenessanddetermineoptimaltreatmentprotocols.Inaddition,theunderlyingcausesoffecalincontinencevaryamongpatients,andacomprehensiveapproachtotreatmentisnecessary.Thisincludesaddressinganyunderlyingconditions,suchasinflammatoryboweldiseaseorpelvicorganprolapse,aswellasprovidingindividualizedcarethattakesintoaccountthepatient'sgoals,expectations,andoverallhealth.

Inconclusion,fecalincontinenceisacommonproblemthatcan