電刺激生物反饋干預結(jié)合康復護理在先天性巨結(jié)腸術后肛門失禁患兒中的應用湖南省兒童醫(yī)院普外一科，湖南長沙   410007Application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence after operation of hirschsprung’s diseaseSUN Ying   YIN Qiang▲   TANG Qian   LIU Qin  WAN Sihong   PENG XiaThe First Department of General Surgery, Hu’nan Children’s Hospital, Hu’nan Province, Changsha   410007, China摘要圖/表參考文獻(25)相關文章(15) 摘要 目的 探討電刺激生物反饋干預結(jié)合康復護理在先天性巨結(jié)腸（HD）術后肛門失禁（FI）患兒中的應用。方法 選擇某三甲兒童醫(yī)院2017年12月至2019年12月收治的85例HD患兒作為研究對象，按隨機數(shù)字表法分為對照組43例和觀察組42例。兩組均實施常規(guī)干預，在此基礎上，對照組實施電刺激生物反饋干預，觀察組在對照組基礎上增加康復護理，連續(xù)干預5周后評價干預效果，包括監(jiān)測直腸感覺閾值、肛門直腸動力學。 結(jié)果 兩組干預前初始感覺容量、排便感覺容量及最強便意容量比較，差異無統(tǒng)計學意義（P ＞ 0.05）；兩組干預5周后初始感覺容量、排便感覺容量及最強便意容量均較干預前升高，且觀察組高于對照組，差異有統(tǒng)計學意義（P ＜ 0.05）；兩組干預前肛管最大收縮壓、最長收縮時間及肛管靜息壓比較，差異無統(tǒng)計學意義（P ＞ 0.05）；兩組患兒干預5周后肛管最大收縮壓、最長收縮時間及肛管靜息壓均較干預前升高，且觀察組均高于對照組，差異有統(tǒng)計學意義（P ＜ 0.05）。 結(jié)論 HD術后FI患兒接受電刺激生物反饋干預結(jié)合康復護理獲益較為理想，直腸感覺閾值及肛門直腸動力學改善。
服務把本文推薦給朋友加入我的書架加入引用管理器 E-mail AlertRSS作者相關文章孫瑛 尹強▲ 唐倩 劉琴 萬四紅 彭霞關鍵詞 ：先天性巨結(jié)腸, 肛門失禁, 電刺激, 生物反饋, 直腸感覺   Abstract：Objective To explore the application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence (FI) after operation of hirschsprung’s disease (HD). Methods Atotal of 85 childrens with HD treated in a Three Grade A Class Children’s Hospital from December 2017 to December 2019 were selected as the research subjects, divided them by random number table method into control group 43 cases and observation group 42 cases. Both groups were given routine intervention, on this basis, the control group was received electrical stimulation biofeedback intervention, the observation group was given rehabilitation nursing on the basis of the control group, the intervention effect was evaluated after continuous intervention for five weeks, including monitoring rectal sensory threshold, anorectal dynamics. Results The initial sensory capacity, defecation sensory capacity and the strongest defecation capacity were compared of children in both groups before intervention, there were no statistical significant differences (P ＞ 0.05); after five weeks of intervention, the initial sensory capacity, defecation sensory capacity and the strongest defecation capacity of children in both groups were higher than those before intervention, and the observation group was higher than the control group, and there were statistical significant differences (P ＜ 0.05); the maximum systolic pressure, the longest systolic time and the resting pressure of anal canal were compared of children in two groups before intervention, there were no statistical significant differences (P ＞ 0.05); after five weeks of intervention, the maximum systolic pressure, the longest systolic time and the resting pressure of anal canal of children in groups were higher than those before intervention, and the observation group was higher than the control group, and there were statistical significant differences (P ＜ 0.05). Conclusion Children with FI after operation of HD receiving electrical stimulation biofeedback intervention combined with rehabilitation nursing have ideal benefits, the rectal sensory threshold and anorectal dynamics are improved.
Key words：Hirschsprung’s disease  Fecal incontinence  Electrical stimulation  Biofeedback  Rectal sensation     通訊作者:▲通訊作者   引用本文:   孫瑛 尹強▲ 唐倩 劉琴 萬四紅 彭霞. 電刺激生物反饋干預結(jié)合康復護理在先天性巨結(jié)腸術后肛門失禁患兒中的應用[J]. 中國醫(yī)藥導報, 2021, 18(21): 173-176.
SUN Ying YIN Qiang▲ TANG Qian LIU Qin WAN Sihong PENG Xia. Application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence after operation of hirschsprung’s disease. 中國醫(yī)藥導報, 2021, 18(21): 173-176.鏈接本文:  https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I21/173

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