生物反馈结合心理疏导治疗功能性肛门直肠痛的临床研究

目的研究生物反馈结合心理疏导对功能性肛门直肠痛患者的临床症状、精神状态及生活质量的影响。方法选取功能性肛门直肠痛患者17例,对每名患者进行10次(以上)生物反馈治疗,并在治疗过程中予以适当心理疏导,应用疼痛VAS卡、焦虑自评量表(SAS)、抑郁自评量表(SDS)及简明健康调查量表(SF-36)评估患者治疗前后的临床症状、精神状态及生活质量的变化。结果疼痛明显好转,痊愈2例(11.76%),显效7例(41.18%),有效8例(47.06%)。患者焦虑、抑郁积分较治疗前显著降低(P0.05),SF-36得分在生理机能、躯体疼痛、一般健康、情感职能、精神健康、社会功能及精力7个维度积分明显增加(P0.05)。结论生物反馈结合心理疏导能够改善患者功能性肛门直肠痛症状,缓解焦虑和抑郁的情绪,提高生活质量。

Clinical Study of the biofeedback and psychological therapy in the Functional anorectal pain

Objective To investigate the effects of biofeedback and psychological therapy in the functional anorectal pain,mental state and quality of life in patients with outlet obstructive constipation. Methods Seventeen patients with functional anorectal pain have been choosen according to ROME III for FGIDs di- agnostic criteria,and each patient was offered biofeedback therapy for ten times （or more} with proper psychological therapy, and then evaluated by VAS card. The mental state and quality of life were also evalua- ted by using self-rating anxiety scale （SAS）, self-rating depression scale （SDS}, and SF-36 scale. Results After biofeedback and psychological therapy, clinical symptom of patients with FARP was greatly im- proved, and the significant effective rate was 52.94%. The integration of SAS and SDS were obviously decreased after treatment P 〈0.05 ）, and the SF-36 scores were improved except role physical （ P 〈 0.05）. Conclusion The biofeedback and psychological therapy has greater value of clinical application for improving the clinical symptoms,alleviating the moods of anxiety and depression, and improving the quality of life in patients with FARP.