摘要
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.
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.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2009年第1期26-29,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
肌电生物反馈
肠易激综合征
心理因素
内脏敏感性
Electromyographic biofeedback
Irritable bowel syndrome
Psychological factors
Visceral sensitivity
