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老年功能性便秘患者盆底表面肌电特征及生物反馈治疗

邓罡 徐丽姝 覃铁和

实用医学杂志2018,Vol.34Issue(8):1316-1319,4.
实用医学杂志2018,Vol.34Issue(8):1316-1319,4.DOI:10.3969/j.issn.1006-5725.2018.08.023

老年功能性便秘患者盆底表面肌电特征及生物反馈治疗

The clinical application of biological feedback therapyand the characteristicsof pelvic floor surface electro-myography in elderly patients with functional constipation

邓罡 1徐丽姝 1覃铁和2

作者信息

  • 1. 广东省人民医院 广东省医学科学院,广东省老年医学研究所消化内科 广州510080
  • 2. 广东省人民医院 广东省医学科学院,广东省老年医学研究所急危重症科 广州510080
  • 折叠

摘要

Abstract

Objective To evaluate the therapeutic effect of biofeedbackand thecharacteristics of pelvic floor surface electromyography in elderly patients with functional constipation. Methods Analysis 258 cases of functional constipation patients with 12 index of five steps of the pelvic floor surface electromyographic. Of these, 74 patients(50 older age-group and 24 control group)with functional constipation were treated with biofeedback. Use constipation patient symptomself-assessment scale,before and after treatment,compared two groups with the scord and clinical effect,analysis 12 index of the pelvic floor surface electromyographic in older age-group. Results Compared to control group,the older age-group had a lower amplitude during pre-baseline step,flick step,tonic step,endurance step and pos-baseline step.The older age-group had a higher CV(coefficient of vari-ance)during pre-baseline step and endurance step,median frequency during tonic step and endurance step. Onset time during flick step,CV during tonic step andpos-baseline step in the older age-group is as well as control group. The maximal contraction amplitude,continuous contraction and prolonged contraction amplitude were all increased in the elderly group after biofeedback treatment. The variation coefficient of the prebaseline and the duration of the endurance contraction was decreased. The value frequency of the durable contraction decreases. Conclusion The characteristics of pelvic floor surface electromyography in elderly patients:had a lower ampli-tude duringpre-baseline step,flick step,tonic step,endurance step and pos-baseline step,had a higher CV during pre-baseline step and endurance step,median frequency during tonic step and endurance step.Biofeedback therapy can improve pelvic floor muscle tension and the coordination of sports.

关键词

老年人/便秘/盆底表面肌电/生物反馈

Key words

elderly/constipation/pelvic floor muscle surface electromyography/biological feed-back therapy

引用本文复制引用

邓罡,徐丽姝,覃铁和..老年功能性便秘患者盆底表面肌电特征及生物反馈治疗[J].实用医学杂志,2018,34(8):1316-1319,4.

基金项目

广东省科技计划项目(编号:2014A070705012) (编号:2014A070705012)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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