Therapeutic effect of different treatment methods on functional anorectal pain

摘要

Highlights Non-drug therapy including acupuncture and physical exercise can enhance the clinical efficacy of single Chinese medicine in the treatment of functional anorectal pain. Editor’s Summary Because pain is a main subjective symptom of patient with functional anorectal pain, the role of non-drug therapy in pain remission has an advantage and is worthy of further research. Objective To observe the clinical efficacy of oral traditional Chinese medicine (Jiaweitiaoqi decoction), electroacupuncture, biofeedback, and combined treatment on functional anorectal pain (FAP). Methods A total of 200 patients with FAP were randomly divided into 4 groups, with 50 patients in each group. Group 1 was given oral Jiaweitiaoqi decoction; group 2 was given electroacupuncture at the lumbosacral acupoints; group 3 was given biofeedback training; and group 4 was given combined treatment. The numeric rating scale (NRS), Short Form-36 (SF-36) quality of life scale, static pressure of the anal canal, and maximum systolic pressure were observed in the 4 groups. Results The observation indices of the 4 groups were all improved after treatment compared with those before treatment, and the fourth group showed the most obvious improvement. Regarding NRS scores, the static pressure of the anal canal, and maximum systolic pressure, group 4 had lower values than the other 3 groups (P P Conclusion Non-drug therapy including acupuncture and physical exercise can enhance the clinical efficacy of single Chinese medicine in the treatment of FAP.