生物反馈训练对中低位直肠癌患者肠道功能的影响：一项随机对照研究。
The effect of biofeedback training on intestinal function among patients with middle and low rectal cancer: a randomized controlled study.
作者信息
Liu Li, Wu Xiaodan, Liu Qianwen, Tang Caixing, Luo Baojia, Fang Yujing, Pan Zhizhong, Wan Desen, Zheng Meichun
机构信息
Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
出版信息
Ann Transl Med. 2019 Nov;7(21):605. doi: 10.21037/atm.2019.09.62.
BACKGROUND
To evaluate the effect of biofeedback on intestinal function among patients with middle and low rectal cancer.
METHODS
Using a randomized controlled trial design, 109 patients with middle and low rectal cancer indicated to have preoperative radiochemotherapy, anterior resection of the rectum, and preventive stoma were randomly divided into three groups: the blank control group, the pelvic floor muscle exercise group, and the biofeedback training group. A 16-month intervention and longitudinal follow-up study was conducted, and a questionnaire on intestinal function by the Memorial Sloan-Kettering Cancer Center (MSKCC) was adopted into a Chinese version to evaluate patients' intestinal function situation.
RESULTS
The intestinal function of the biofeedback training group was better than the blank control group and pelvic floor muscle exercise group. The total score of intestinal function and the scores of each dimension were statistically significant (P<0.05).
CONCLUSIONS
Biofeedback training could significantly improve the intestinal function of patients with middle and low rectal cancer, promote its recovery, and is thus worthy of clinical application.
背景
评估生物反馈对中低位直肠癌患者肠道功能的影响。
方法
采用随机对照试验设计，将109例拟行术前放化疗、直肠前切除术及预防性造口的中低位直肠癌患者随机分为三组：空白对照组、盆底肌锻炼组和生物反馈训练组。进行为期16个月的干预及纵向随访研究，采用纪念斯隆凯特琳癌症中心（MSKCC）肠道功能问卷中文版评估患者肠道功能状况。
结果
生物反馈训练组肠道功能优于空白对照组和盆底肌锻炼组。肠道功能总分及各维度得分差异有统计学意义（P<0.05）。
结论
生物反馈训练可显著改善中低位直肠癌患者肠道功能，促进其恢复，值得临床应用。
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