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使用简单工具对因潴留性便秘导致大便失禁的儿童进行生物反馈康复治疗：法国一家儿科中心的真实世界研究

Biofeedback rehabilitation in children with encopresis due to retentive constipation using simple tools: a real-world study in a French paediatric centre.

作者信息

Campeotto Florence, Abt Servane, Enaud Raphael, Avril Servane, Abi-Nader Elie, Neuraz Antoine, Ronconi Monica Silvia

机构信息

Paedriatric Gastroenterology and Nutrition, Necker-Enfants Malades Hospital, APHP, Paris, France

UMR-S 1139, Faculty of Pharmacy, Paris Cité University, Paris, France.

出版信息

BMJ Paediatr Open. 2024 Dec 25;8(1):e003038. doi: 10.1136/bmjpo-2024-003038.

DOI:10.1136/bmjpo-2024-003038
PMID:39725455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12172072/
Abstract

This study aimed to describe the effectiveness of biofeedback (BFB) rehabilitation in children with retentive encopresis (RE). A retrospective, single-institution study was conducted in children with BFB sessions for RE between 2017 and 2020. Manometry data and associated envy scores were analysed. BFB was a success (recovery from RE or ≥50% reduction in faecal soiling) in 37/44 (84%) children at the last session and in 32/44 (73%) 6 months later. The median age of children was higher in the success group at 6 months (p=0.013). BFB could then be clinically effective in children with RE.

摘要

本研究旨在描述生物反馈（BFB）康复治疗对儿童习惯性便秘（RE）的有效性。对2017年至2020年间接受BFB治疗RE的儿童进行了一项回顾性单机构研究。分析了测压数据和相关的羡慕分数。在最后一次治疗时，37/44（84%）的儿童BFB治疗成功（从RE中恢复或粪便污染减少≥50%），6个月后这一比例为32/44（73%）。成功组儿童在6个月时的中位年龄较高（p=0.013）。因此，BFB对患有RE的儿童可能具有临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b4/12172072/84ab07dc6548/bmjpo-8-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b4/12172072/84ab07dc6548/bmjpo-8-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b4/12172072/84ab07dc6548/bmjpo-8-1-g001.jpg

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本文引用的文献

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The use of biofeedback for children with fecal incontinence secondary to retentive constipation: Experience of a French Pediatric Center.生物反馈在继发性潴留性便秘致粪便失禁儿童中的应用：法国儿科中心的经验。
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Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN.婴幼儿功能性便秘的评估与治疗：欧洲儿科胃肠病、肝病和营养学会（ESPGHAN）及北美儿科胃肠病、肝病和营养学会（NASPGHAN）的循证推荐意见
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Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children.
采用或不采用其他治疗方法的行为和认知干预对儿童大便失禁的管理
Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD002240. doi: 10.1002/14651858.CD002240.pub4.
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