| Purpose:Observation on "ba liao" point to electrical stimulation and combined therapy with biofeedback training methods STC with intestinal and qi stagnation syndrome clinical effect,And the effect of Baliao point electrical stimulation on the quality of life and anal canal dynamics of patients with slow transit constipation qi qi stagnation syndrome,and the curative effect of combined treatment method to make an objective evaluation,for clinical doctors to treat intestinal and slow to provide reference for both transmissive constipation patients.Material and method:Using randomized controlled study design principles,the selection from January 2019 to December 2019 in the anorectal hospital in liaoning province and in line with the diagnostic criteria,inclusion criteria and STC patients 60 cases,carried out in accordance with the into time sequence number,the random number table method is adopted to the 60 patients were randomly divided into two groups,the observation group and control group,and each group has 30 patients.The treatment method of the control group was biofeedback treatment,and the observation group applied electric stimulation treatment to Baliao acupoint based on the method of the control group.The curative effect after treatment and the number of spontaneous defecation per week were observed.The stool traits of the patients were evaluated by Bristol classification criteria.At 48 h and 72 h after the patients took the capsule,the number of markers was recorded and the colonic excretion rate was calculated.The quality of life of patients with constipation was objectively evaluated by the Chinese version of PAC-QOL.The changes of anorectal canal dynamics indexes of the 60 patients were monitored.The main observation indexes included anorectal canal dynamics parameters(anal resting pressure,maximum systolic pressure)and rectal defecation sensory parameters(initial sensory threshold,maximum sensory threshold,defecation threshold).Blood routine,stool routine,urine routine,liver and kidney function,electrocardiogram,etc.of patients in the two groups were monitored.At the same time,adverse reactions occurred in the process of the study were monitored in real time and recorded in time.Results:1.Efficacy: in the observation group of 30 patients,only 3 patients were found to be ineffective after treatment,and the effective rate was 90.00%(including 3 cured patients,11 significantly effective patients,and 13 effective patients).In the control group of 30 patients,8 patients were found to be ineffective after treatment,with an effective rate of 73.33%(but only 1 patient was cured,6 patients were significantly effective,and 15 patients were effective).The clinical efficacy of patients in the two groups was divided into four grades,which belonged to grade data.According to the Mann-Whiteny U test,Z=-2.188,P=0.029<0.05,indicating that there was a great difference in the efficacy comparison between the two groups,and the total effective rate of the observation group was significantly higher than that of the control group.2.The weekly frequency of spontaneous defecation: the weekly frequency of spontaneous defecation in the observation group after treatment was significantly higher than that in the control group(P<0.05).The frequency of defecation after treatment in both groups was significantly higher than that before treatment(P<0.05).3.Fecal characteristics: After treatment,the scores of fecal traits in the two groups were significantly different from those before treatment by paired t test(P<0.05),and the two groups were significantly improved after treatment.4.Colonic excretion rate: at 48 h and 72 h after taking the capsule,the independent t-test comparison of the colon excretion rate of the two groups after treatment showed a P<0.05,showing a significant difference,and the colon excretion rate of the observation group was significantly higher than that of the control group.The colon excretion rate in 2 groups after treatment was significantly higher than before treatment(P<0.05).5.Quality of life: After treatment,the quality of life of both groups was improved,and the improvement of quality of life of the observation group was better.6.Anal canal dynamics:After treatment,the dynamic parameters of rectum and anal canal and the sensory parameters of rectum defecation in 2 groups were compared by independent t-test,and the P<0.05,showing significant differences,and each index of the observation group was significantly lower than that of the control group.Both groups were significantly improved before and after treatment.7.Safety: No obvious adverse reactions occurred in patients of the two groups.Conclusion:The clinical effect of Baliao point electrical stimulation combined with biofeedback in the treatment of STC with qi stagnation syndrome is better than that of biofeedback alone,with good safety and no obvious adverse reactions.It is an effective treatment scheme for STC with qi stagnation syndrome worthy of clinical promotion... |
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