Gong Bing Yan, Ma Hong Mei, Zang Xiao Ying, Wang Si Yuan, Zhang Yi, Jiang Nan, Zhang Xi Peng, Zhao Yue
School of Nursing, Tianjin Medical University, Tianjin, China.
Department of Nursing, Nankai University Affiliated Hospital, Tianjin, China.
J Neurogastroenterol Motil. 2016 Jul 30;22(3):497-508. doi: 10.5056/jnm15089.
BACKGROUND/AIMS: A large number of studies have shown that function constipation (FC) has an extremely high incidence of mental and psychological disorders. Cranial electrotherapy stimulation (CES) was applied to the treatment of psychological disorders such as anxiety and depression. We explored the effects of CES combined with biofeedback therapy (BFT) on the psychological state, clinical symptoms, and anorectal function in patients with FC.
A total of 74 patients with FC were randomly divided into 2 groups. The control group received BFT. CES combined with BFT was carried out in the experiment group. All patients were assessed using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score at baseline and the end of each course. Anorectal manometry and balloon expulsion tests were performed before and after treatment.
After treatment, the participants in the experiment group had significantly lower score SAS, SDS, and Wexner constipation scores than the control group (all P < 0.05). The number of successful expulsion in the experiment group was larger than the control group (P = 0.016).
CES combined with BFT was effective in improving the psychological status of anxiety, depression, and bowel symptoms in patients with FC.
背景/目的：大量研究表明，功能性便秘（FC）患者出现精神心理障碍的发生率极高。颅电刺激疗法（CES）已应用于焦虑和抑郁等心理障碍的治疗。我们探讨了CES联合生物反馈疗法（BFT）对FC患者心理状态、临床症状及肛肠功能的影响。
将74例FC患者随机分为两组。对照组接受BFT治疗。实验组采用CES联合BFT治疗。所有患者在基线及每个疗程结束时，均使用自评焦虑量表（SAS）、自评抑郁量表（SDS）及Wexner便秘评分进行评估。治疗前后进行肛肠测压和气囊排出试验。
治疗后，实验组患者的SAS、SDS及Wexner便秘评分显著低于对照组（均P<0.05）。实验组的成功排出次数多于对照组（P = 0.016）。
CES联合BFT可有效改善FC患者的焦虑、抑郁心理状态及肠道症状。
Zotero 插件
