Wang Keke,Song Cuiping,Zhang HaiYang,et al.Application of biofeedback and pelvic floor exercise in the treatment of functional fecal incontinence in children[J].Journal of Clinical Pediatric Surgery,,21():358-363.[doi:10.3760/cma.j.cn101785-202011036-012]
Application of biofeedback and pelvic floor exercise in the treatment of functional fecal incontinence in children
- Keywords:
- Biofeedback; Pelvic Floor Exercise; Functional Fecal; Treatment Outcome; Child
- Abstract:
- ObjectiveTo explore the effect and therapeutic value of biofeedback and pelvic floor exercise on functional fecal incontinence in children.MethodsFrom June 2018 to June 2020,a total of 32 children of functional fecal incontinence were recruited,There were 19 boys and 13 girls with a mean age of 7.93(6-13) years.Daily 40-min biofeedback therapy of pelvic floor muscle was provided by Laborie biofeedback instrument.One cycle was composed of 10 sessions and all given 1 course of treatment.At the same time contraction training of pelvic floor muscle was offered over 200 times daily.Anal canal current intensity (mA),anal basic motor electromyography (μv),anal contraction myoelectric difference (μv) and anal continuous contraction time (s) were collected and compared before treatment,after the end of 1 course,1 month and 1 year after treatment respectively.Ten normal age-matched children were selected as control group.The follow-up period was1 year.ResultsAfter one course of treatment,all fecal symptoms (100%) disappeared.The current intensity of anal canal declined from[(15.87±2.59) mA]to[(12.00±2.16) mA].Results before and after treatment were compared to the control group[(7.10±1.93) mA],the differences were statistically significant (P<0.05).The EMG value of basic movement of anal canal declined from[(209.47±33.13) μv]to[(138.31±46.99) μv].Results before and after treatment were compared to the control group[(85.86±34.73) μv],the differences were statistically significant (P<0.05).The contractile muscle’s electrical difference of anal canal rose from[(45.27±27.6) μv]to[(92.91±45.06) μv].Results before and after treatment were compared to the control group[(127.29±51.89) μv],the differences were statistically significant (P<0.05).The duration of continuous anal contraction spiked from[(1.21±0.57) s]to[(2.07±0.79) s].Results before and after treatment were compared to the control group[(2.62±0.64) s],the differences were statistically significant (P<0.05).After 1-month treatment,all fecal symptoms disappeared.Anal canal current intensity[(8.00±0.93) mA],anal canal basal motor electromyography[(90.56±19.11) μv],anal canal contraction electromyography difference[(110.22±36.71)μv]and anal continuous contraction time[(2.47±0.66)s],Compared with control group,there was no significant difference (P>0.05).At 1 year after treatment,Five cases were lost,The rest of the children were free of soiling,Anal canal current intensity[(7.44±1.42)mA],anal canal basal motor electromyography[(87.11±34.10) μv],anal canal contraction electromyography difference[(125.56±36.44) μv]and anal continuous contraction time[(2.57±0.54) s],Compared with control group,there was no significant difference (P>0.05).ConclusionBiofeedback plus pelvic floor exercise are both safe and effective in the treatment of functional fecal incontinence in children.And it is worth clinically promotion and application.
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Memo
收稿日期:2020-11-23;改回日期:。
基金项目:新乡市科技计划项目(CXGG17006)
通讯作者:宋翠萍,Email:scp1965@163.com
通讯作者:宋翠萍,Email:scp1965@163.com