电针董氏奇穴联合生物反馈治疗功能性肛门直肠痛的疗效评价

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Objective:To investigate the clinical effect of electroacupuncture combined with biofeedback on func-tional anorectal pain.rnMethods:Sixty patients diagnosed functional anorectal pain were divided into three groups by random number table,namely electroacupuncture group,biofeedback group,and combination group,with 20 pa-tients in each.In the electroacupuncture group,the electroacupuncture at Dong’s points Sānqi(三其穴),including Qimen(其门),Qijiǎo(其角),and Qizheng(其正),and Linggu(灵骨),Dàbái(大白),Chángmen(肠门)of both sides was given;in the Biofeedback group,the biofeedback therapy was adopted;in the combination group,the electroacupuncture and biofeedback therapy were used.All patients were treated once a day,30 min each time,10 consecutive treatments as one treatment course,and the therapeutic effect was evaluated after 3 treatment courses.The observation indexes after the intervention:Visual ana-logue Scale(VAS)score,SF-36 Quality of Life Scale score,Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score,Anorectal manometry,Clinical efficacy,and patients’adverse reactions.Results:After treatment,the pain of patients in the three groups was alleviated than that before treat-ment,VAS score,SAS score,SDS score,and anorectal pressure were decreased(P<0.05),and SF-36 Qual-ity of Life Scale score was increased(P<0.05).After treatment,in the combination group,the VAS scores,SAS scores,SDS scores,and Anal-rectal pressure scores were lower than those in the other two groups(P<0.05),and SF-36 Quality of Life Scale scores were higher than those in the other two groups(P<0.05),the total effective rate was 80.0%(16/20),which was significantly higher than that of the electroacupunc-ture group(55.0%,11/20)and the biofeedback group(40.0%,8/20)(both P<0.05).No adverse reactions occurred in all three groups.rnConclusion:Electroacupuncture at Dong’s points combined with biofeedback therapy has a significant ef-fect on functional anorectal pain.The combined application of electroacupuncture and biofeedback ther-apy has a synergic action,and the analgesic effect is better than that of only using electroacupuncture or biofeedback therapy.
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