粪失禁的生物反馈治疗：我们现状如何，又将走向何方？
Bio-feedback treatment of fecal incontinence: where are we, and where are we going?
作者信息
Chiarioni Giuseppe, Ferri Barbara, Morelli Antonio, Iantorno Guido, Bassotti Gabrio
机构信息
Division of Gastroenterological Rehabilitation, University of Verona, Valeggio sul Mincio Hospital, Azienda Ospedaliera of Verona, Verona, Italy.
出版信息
World J Gastroenterol. 2005 Aug 21;11(31):4771-5. doi: 10.3748/wjg.v11.i31.4771.
Fecal incontinence is a disabling disease, often observed in young subjects, that may have devastating psycho-social consequences. In the last years, numerous evidences have been reported on the efficacy of bio-feedback techniques for the treatment of this disorder. Overall, the literature data claim a success rate in more than 70% of cases in the short term. However, recent controlled trials have not confirmed this optimistic view, thus emphasizing the role of standard care. Nonetheless, many authors believe that this should be the first therapeutic approach for fecal incontinence due to the efficacy, lack of side-effects, and scarce invasiveness. Well-designed randomized, controlled trial are eagerly awaited to solve this therapeutic dilemma.
大便失禁是一种致残性疾病，常见于年轻患者，可能会产生严重的心理社会后果。近年来，已有大量证据表明生物反馈技术在治疗这种疾病方面的有效性。总体而言，文献数据显示短期内该技术的成功率超过70%。然而，最近的对照试验并未证实这一乐观观点，从而凸显了标准护理的作用。尽管如此，许多作者认为，鉴于其有效性、无副作用和低侵入性，生物反馈技术应是大便失禁的首选治疗方法。人们迫切期待设计良好的随机对照试验来解决这一治疗难题。
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