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目的观察生物反馈治疗缓解老年人排便困难的疗效及对盆底肌肛门括约肌不协调运动的改善情况。方法选50例排便困难老年人使用生物反馈治疗仪治疗1疗程,观察治疗前后排便困难缓解情况,肛门直肠压力的情况及腹肌、盆底肌电图情况。结果治疗后老年人排便困难减轻,缓解率达68%,肛门直肠压力及腹肌、盆底肌肛门括约肌不协调运动改善,改善率63.8%。结论生物反馈疗法可改善老年人排便困难,改善老年人腹肌、盆底肌肛门括约肌不协调运动状况。
Objective To observe the therapeutic effect of biofeedback therapy on alleviating the defecation in the elderly and the improvement of the uncoordinated movement of pelvic floor anal sphincter. Methods Fifty cases of defecation-refractory elderly were treated with biofeedback apparatus for one course of treatment. The relief of defecation and anorectal pressure before and after treatment were observed, and the situation of abdominal muscle and pelvic electromyogram were observed. Results After treatment, the elderly patients had less difficulty in defecation and the response rate was 68%. Anorectal pressure and uncoordinated movement of abdominal and pelvic floor anal sphincter were improved. The improvement rate was 63.8%. Conclusion Biofeedback therapy can improve the defecation difficulty in the elderly and improve the uncoordinated movement of the anal sphincter in the abdominal muscles and pelvic floor muscles of the elderly.