Correlation Analysis Of Temperature Enema And Anorectal Dynamics Changed

Objective:The purpose of this research is to observe the correlation between different-tempreituer water enema and the change of anorectal dynamics, make the study of different water temperature effect of enema on anorectal motility has not only theoretical significance, but also the development of clinical application anf perfect help warm water enema in the treatment of anorectal diseases.Methods:A randomized study was made in120normal people who volunteered to participate in this study from June of2012to February of2013as the cases.Make the volunteers according to the entry sequence number,then divided into three groups randomly,each group of40people, that is tenperature(36℃-39℃)group,(39.5℃-42.5℃) group,(43℃-46℃) group,do enema not retain.Preliminary observe the subjects of the warm water enema liquid threshold feeling,continuous meaning,the maximum tolerable volume,blood in the stood,enema liquid patency,mucosal injury,and compare the differences between them.Then do the anorectal manomertry detection half an hour later.detected the differences between the rectal resting pressure, anal resting pressure, maximum squeeze pressure,first sensation volume, first defecation volume,maximal tolerable rectal volum after different initial water enema.Results:The three group of subject had no obvious adverse reactions.Comparison of this three groups,the subject threshold,meaning,feeling for maximum tolerance capacity have statistical significance (P<0.05).However,the retention time,enema spillover,palpitations,abdominal pain,defecate feeling strong not have statistical significance (P>0.05).And the comparison of blood in the stood,enema liquid patency,mucosal injury have no statistical significance (P>0.05).Comparison in rectal dynamic detection, the difference between the rectal resting pressure, anal resting pressure and maximum squeeze pressure not have statistical significance (P>0.05),but, the difference between first sensation volume, first defecation volume,maximal tolerable rectal volum have statistical significance (P<0.05).When the water’s tempreture is in the range43℃-46℃,the chang on the anorectal dynamics is obvious more than the other two groups.Conclusion:The change of three temprictuer water enema on anorectal dynamics was obvious.and enema after temperature in the range43℃-46℃water, the change of anorectal dynamics is obvious;among them, plexus rectal sensory threshold of the lower (initial perception threshold and sustained it is intended, the greatest tolerance capacity, anorectal reflex threshold,etc.);but, the tension of inside and outside the sphincter in t e dynamics did not change significantly.