生物反馈联合精神心理治疗对功能性便秘的临床疗效

Clinical effects of biofeedback therapy combined with mental and psychological treatment for functional constipation

摘要:

目的  研究生物反馈联合精神心理治疗在功能性便秘（FC）中的疗效。方法  选取在该院门诊或住院部符合FC罗马Ⅲ诊断标准的FC患者90例。每例患者治疗前应用焦虑自评量表（SAS）、抑郁自评量表（SDS），进行FC患者的焦虑和抑郁症状评分，之后进行15次生物反馈联合精神心理治疗，观察患者治疗后的临床症状改善及SAS、SDS评分改变。结果  90例FC患者经生物反馈联合精神心理治疗后，总有效率为83.3%，其中11.1%（10/90）治愈，38.9%（35/90）显效，33.3%（30/90）有效，16.7%（15/90）无效；生物反馈联合精神心理治疗后，患者SAS评分和抑郁自评量表评分改善（P <0.01）。结论  生物反馈联合精神心理治疗可显著改善FC患者临床症状，患者焦虑和抑郁量表评分亦较治疗前明显改善，表明生物反馈联合精神心理治疗对FC有良好的治疗效果。

Abstract:

 Objective To study the clinical effects of biofeedback therapy combined with mental and psychological treatment for functional constipation (FC). Methods According to the Rome Ⅲ diagnostic criteria, 90 patients with functional constipation were recruited into this study. Each patient received Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) and then 15 times of biofeedback therapy plus mental and psychological treatment. The clinical symptom scores were established to observe the improvement of constipation symptoms after treatment. Results Of the 90 patients, 11.1% (10/90) were cured, 38.9% (35/90) were markedly effective, 33.3% (30/90) were effective, and 16.7% (15/90) were invalid. The total efficiency rate was 83.3% in the 90 FC patients after biofeedback therapy plus mental and psychological treatment. The FC patients' SAS score and SDS score were significant improved after treatment (P < 0.01). Conclusions Biofeedback combined with mental and psychological treatment can significantly improve the clinical symptoms of patients with functional constipation. Scores of anxiety and depression in FC patients are significantly improved compared with those before treatment. The study indicates that biofeedback combined with mental and psychological treatment has good effect on the treatment of functional constipation.