生物反馈对功能性便秘患者症状和心理状态的影响

被引:26
作者
林琳
朱芬芬
林征
王美峰
丁美红
机构
[1] 南京医科大学第一附属医院消化科
关键词
便秘; 生物反馈(心理学); 焦虑; 抑郁;
D O I
暂无
中图分类号
R574.62 [结肠疾病];
学科分类号
1002 ; 100201 ;
摘要
背景:功能性便秘(FC)是一种消化系统常见的功能性胃肠病,生物反馈是其有效治疗方法之一。目的:探讨生物反馈治疗对FC患者临床症状和心理状态的影响。方法:对78例符合FC罗马Ⅱ标准的患者行生物反馈训练,应用症状积分量表、结肠转运时间、Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)等评定患者治疗前后临床症状和心理状态的综合改善情况。结果:生物反馈治疗FC的总有效率为79.5%。生物反馈治疗前,与中国常模相比,FC患者的焦虑(39±8对31±13)和抑郁(52±9对42±11)积分显著升高(P均<0.01)。生物反馈治疗后,患者焦虑(33±7对39±8)和抑郁(46±8对52±9)显著改善(P均<0.01)。结论:生物反馈不仅可改善FC患者的临床症状,还可改善其异常心理状态。
引用
收藏
页码:104 / 107
页数:4
相关论文
共 14 条
[1]   Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation [J].
Rao, Satish S. C. ;
Seaton, Kara ;
Miller, Megan ;
Brown, Kice ;
Nygaard, Ingrid ;
Stumbo, Phyllis ;
Zimmerman, Bridgtte ;
Schulze, Konrad .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2007, 5 (03) :331-338
[2]   Randomized, controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergia-type constipation [J].
Heymen, Steve ;
Scarlett, Yolanda ;
Jones, Kenneth ;
Ringel, Yehuda ;
Drossman, Douglas ;
Whitehead, William E. .
DISEASES OF THE COLON & RECTUM, 2007, 50 (04) :428-441
[3]   Functional bowel disorders [J].
Longstreth, George F. ;
Thompson, W. Grant ;
Chey, William D. ;
Houghton, Lesley A. ;
Mearin, Fermin ;
Spiller, Robin C. .
GASTROENTEROLOGY, 2006, 130 (05) :1480-1491
[4]   Long-term study on the effects of visual biofeedback and muscle training as a therapeutic modality in pelvic floor dyssynergia and slow-transit constipation [J].
Battaglia, E ;
Serra, AM ;
Buonafede, G ;
Dughera, L ;
Chistolini, F ;
Morelli, A ;
Emanuelli, G ;
Bassotti, G .
DISEASES OF THE COLON & RECTUM, 2004, 47 (01) :90-95
[5]   Coping strategies, illness perception, anxiety and depression of patients with idiopathic constipation: a population-based study [J].
Cheng, C ;
Chan, AOO ;
Hui, WM ;
Lam, SK .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 18 (03) :319-326
[6]   Psychological state and quality of life in patients having behavioral treatment (biofeedback) for intractable constipation [J].
Mason, HJ ;
Serrano-Ikkos, E ;
Kamm, MA .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2002, 97 (12) :3154-3159
[7]   Quality of life in patients with different types of functional constipation [J].
Glia, A ;
Lindberg, G .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1997, 32 (11) :1083-1089
[8]   BIOFEEDBACK TRAINING IS USEFUL IN FECAL INCONTINENCE BUT DISAPPOINTING IN CONSTIPATION [J].
KECK, JO ;
STANIUNAS, RJ ;
COLLER, JA ;
BARRETT, RC ;
OSTER, ME ;
SCHOETZ, DJ ;
ROBERTS, PL ;
MURRAY, JJ ;
VEIDENHEIMER, MC .
DISEASES OF THE COLON & RECTUM, 1994, 37 (12) :1271-1276
[9]   OUTPATIENT PROTOCOL FOR BIOFEEDBACK THERAPY OF PELVIC FLOOR OUTLET OBSTRUCTION [J].
FLESHMAN, JW ;
DREZNIK, Z ;
MEYER, K ;
FRY, RD ;
CARNEY, R ;
KODNER, IJ .
DISEASES OF THE COLON & RECTUM, 1992, 35 (01) :1-7
[10]  
Detection Of Pseudodiarrhoea By Simple Clinical Assessment Of Intestinal Transit Rate.[J].Luke J. D. O'Donnell;Jim Virjee;Kenneth W. Heaton.BMJ: British Medical Journal.1990, 6722