Ko C Y, Tong J, Lehman R E, Shelton A A, Schrock T R, Welton M L
Department of Surgery, University of California, Los Angeles, USA.
Arch Surg. 1997 Aug;132(8):829-33; discussion 833-4. doi: 10.1001/archsurg.1997.01430320031004.
To define the role of biofeedback in fecal incontinence and constipation.
A case series of patients with fecal incontinence or constipation with pelvic floor dysfunction.
Tertiary care center with an anorectal physiology laboratory.
Patients with 1 of the following: (1) chronic or acute fecal incontinence, (2) fecal incontinence and neurologic injury, or (3) constipation with pelvic floor dysfunction.
Electromyogram-guided biofeedback retraining of the pelvic floor.
Resolution of electromyographic abnormalities and subjective resolution of fecal incontinence or constipation.
Of the patients with fecal incontinence, 92% experienced significant improvement with biofeedback without significant improvement in electromyographic values. Of the patients with constipation and pelvic floor dysfunction 80% experienced improvement with biofeedback without significant change in electromyographic values.
Biofeedback is effective in selected patients with fecal incontinence and constipation with pelvic floor dysfunction.
明确生物反馈在大便失禁和便秘中的作用。
一系列伴有盆底功能障碍的大便失禁或便秘患者的病例。
设有肛肠生理实验室的三级护理中心。
符合以下情况之一的患者：（1）慢性或急性大便失禁，（2）大便失禁合并神经损伤，或（3）伴有盆底功能障碍的便秘。
通过肌电图引导对盆底进行生物反馈再训练。
肌电图异常的缓解以及大便失禁或便秘的主观缓解情况。
在大便失禁患者中，92%通过生物反馈有显著改善，但肌电图值无显著改善。在伴有盆底功能障碍的便秘患者中，80%通过生物反馈有改善，肌电图值无明显变化。
生物反馈对部分伴有盆底功能障碍的大便失禁和便秘患者有效。
