The Clinic Effectiveness Of Functional Defecation Disorders By Irrigating Hydrotherapy Associating With Biofeedback

Objective Treat functional defecation disorders by irrigating hydrotherapy associating with biofeedback.It is used to evaluate the effectiveness and the safety via clinic symptoms, PAC-QOL,anal manometry,and surface electromyography of pelvic floor.Methods Screen40patients with defecation disorders among these patients who in March2013-in February2014to constipation special disease clinic of Nanjing Hospital of T.C.M with complaints of difficulty in defecation, through interrogation, digital rectal examination, EMG, defecography,improve relevant personal information, fill out quality of life scale, record EMG and anal manometry data. before treatment.The40patients were randomly divided into experimental group and control group,20cases of the experimental group were treated by irrigating hydrotherapy associating with biofeedback (irrigating hydrotherapy should be first, then biofeedback),20cases of the control group were treated by biofeedback therapy only.which are5course of treatment one week, last for two courses. Then the main symptoms of the patients with constipation and Quality of Life Questionnaire (PAC-QOL) and EMG, anal manometry data were compared to observe and analyze the data before and after treatment.Results After two courses of treatment, the20cases of treatment group, cured0cases,2cases markedly effective,12cases of be effective, accounting for70%totally.. The20patients of control group,healed0cases,0cases markedly effective, effective in10cases, accounting for50%. There was no significant difference (P>0.05) between two groups in efficiency. There was a significant difference (P<0.05) between the two groups of data before and after treatment including main symptoms,quality of life, onset time and anal manometry.40cases of adverse reactions did not occur.Conclusions Comprehensive analysing clinical symptoms, quality of life, anal manometry data before and after treatment of functional defecation disorders in these patients, it displays that irrigating hydrotherapy associating with biofeedback was superior to the simple biofeedback group, and clinically safe and effective, it is worth promoting.