中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2009年
1期
26-29
,共4页
肌电生物反馈%肠易激综合征%心理因素%内脏敏感性
肌電生物反饋%腸易激綜閤徵%心理因素%內髒敏感性
기전생물반궤%장역격종합정%심리인소%내장민감성
Electromyographic biofeedback%Irritable bowel syndrome%Psychological factors%Visceral sensitivity
目的 观察肌电生物反馈对难治性肠易激综合征(IBS)内脏痛觉敏感的影响,探讨心理因素与内脏敏感性的关系.方法 采用自身对照的方法,人组的60例IBS患者接受为期4周的肌电生物反馈治疗,治疗前、后分别测试患者的内脏痛觉阈值及焦虑、抑郁情绪.结果 4周后患者内脏痛觉阈值较治疗前明显升高(P<0.01),汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)测试总分均明显下降(P<0.01).内脏痛觉阈值变化指数与HAMA及HAMD测试总分变化指数均呈负相关(相关系数r分别为:r=-0.543,P<0.01;r=-0.728,P<0.01).结论 焦虑、抑郁的不良情绪参与了IBS患者内脏高敏感性的形成,肌电生物反馈治疗可以降低IBS患者内脏高敏感性.
目的 觀察肌電生物反饋對難治性腸易激綜閤徵(IBS)內髒痛覺敏感的影響,探討心理因素與內髒敏感性的關繫.方法 採用自身對照的方法,人組的60例IBS患者接受為期4週的肌電生物反饋治療,治療前、後分彆測試患者的內髒痛覺閾值及焦慮、抑鬱情緒.結果 4週後患者內髒痛覺閾值較治療前明顯升高(P<0.01),漢密爾頓焦慮量錶(HAMA)和漢密爾頓抑鬱量錶(HAMD)測試總分均明顯下降(P<0.01).內髒痛覺閾值變化指數與HAMA及HAMD測試總分變化指數均呈負相關(相關繫數r分彆為:r=-0.543,P<0.01;r=-0.728,P<0.01).結論 焦慮、抑鬱的不良情緒參與瞭IBS患者內髒高敏感性的形成,肌電生物反饋治療可以降低IBS患者內髒高敏感性.
목적 관찰기전생물반궤대난치성장역격종합정(IBS)내장통각민감적영향,탐토심리인소여내장민감성적관계.방법 채용자신대조적방법,인조적60례IBS환자접수위기4주적기전생물반궤치료,치료전、후분별측시환자적내장통각역치급초필、억욱정서.결과 4주후환자내장통각역치교치료전명현승고(P<0.01),한밀이돈초필량표(HAMA)화한밀이돈억욱량표(HAMD)측시총분균명현하강(P<0.01).내장통각역치변화지수여HAMA급HAMD측시총분변화지수균정부상관(상관계수r분별위:r=-0.543,P<0.01;r=-0.728,P<0.01).결론 초필、억욱적불량정서삼여료IBS환자내장고민감성적형성,기전생물반궤치료가이강저IBS환자내장고민감성.
Objective To study the effect of electromyographie biofeedback on visceralgia hypersensitivity in patients with refractory irritable bowel syndrome (IBS) and the relationship between psychological factors and vis-ceral hypersensitivity. Methods Sixty patients with refractory IBS were enrolled in this study and received electro-myographic biofeedback treatment for 4 weeks. The threshold of visceralgia, and scores on the Hamilton anxiety rating scale (HAMA) and the Hamilton depression rating scale (HAMD) were evaluated before and after treatment. Re-suits Compared with the baseline values, the threshold of visceralgia increased significantly during treatment(P≤ 0101) and the total scores on both the HAMA and HAMD had declined significantly (P≤0.01) by the end of 4, weeks of treatment. The evolution of the index of the threshold of visceralgia was negatively correlated with the evolu-tion of both the HAMA and HAMD scores (r = -0.543, P≤0.01; r = -0.728,P≤0.01). Conclusion Elec-tromyographic biofeedback treatment can elevate the threshold of visceralgia hypersensitivity in patients with refractory IBS. Anxiety and depression might contribute to visceralgia hypersensitivity in IBS.
