目的 评价生物反馈治疗功能性大便失禁的2个月和1年疗效.方法 60例功能性大便失禁患者被纳入本研究,采用生物反馈治疗,比较治疗前后2个月和1年的肛门直肠测压改变及临床症状变化.结果 治疗后2个月及1年,患者直肠静息压、最大缩榨压、直肠排便感知域值和直肠最大排便容积量明显增加,直肠排便感知容积量下降,临床症状有不同程度改善.结论 生物反馈疗法治疗功能性大便失禁有效,值得临床推广.%Objective This study was performed to investigate the clinical efficacy of biofeedback therapy for patients with functional incontinence in 2 months and 1 year. Methods 60 patients with functional incontinence received biofeedback therapy for 1 year. And. Symptom change and the value of anorectal manometry were evaluated immediately after the completion of biofeedback therapy in 2 months and after 1 year. Results After the completion of biofeedback therapy in 2 months and 1 year, symptom of fecal incontinence were improved more or less. Meanwhile, anal resting pressure, anal squeeze pressure, pressure of first sensation of defecation and total volume retained were increased, and volume of first sensation of defecation were decreased than before therapy. Conclusion Biofeedback therapy was efficient in factional incontinence which deserved to spread.
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