Application of biofeedback exercise among low and middle rectal cancer patients
10.3760/cma.j.issn.1674-2907.2019.25.022
- VernacularTitle:生物反馈训练在中低位直肠癌患者肛门直肠功能恢复中的应用
- Author:
Meichun ZHENG
1
;
Xiaodan WU
;
Wu JIANG
;
Yongshan WEN
;
Zhizhong PAN
Author Information
1. 中山大学肿瘤防治中心结直肠科
- Keywords:
Rectal neoplasms;
Anus neoplasms;
Recovery of function;
Feedback,physiological
- From:
Chinese Journal of Modern Nursing
2019;25(25):3262-3268
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effect of biofeedback exercise on the recovery of rectal function in patients with middle and low rectal cancer. Methods? From June 2015 to December 2016, 126 patients with low and middle rectal cancer who were going to undergo preoperative radiotherapy and chemotherapy, anterior rectal resection and preventive stoma were selected by purposive sampling. They were randomly divided into control group 1 (blank control group), control group 2 (pelvic floor muscle exercise group) and invention group (biofeedback exercise group) by random coding generated by SPSS software and were tracked longitudinally for 6 times in 16 months by high resolution anorectal manometry, 11 manometric indices including initial rectal sensory capacity and rectal fecal sensory capacity were measured. Results? The study was completed in 109 cases, including 38 cases in control group 1, 35 cases in control group 2, and 35 cases in invention group. The main effects of the changes of five indices, including anal resting pressure, rectal resting pressure, anal maximum systolic pressure, anal maximum systolic time and anal high pressure zone, were time (P＜ 0.05). The four indices of rectal initial capacity, rectal fecal sensory capacity, rectal maximum tolerance capacity and rectal compliance in the invention group were higher than those in the control group 1 (P＜0.05); the maximum rectal tolerance capacity and rectal compliance in the invention group were higher than those in the control group 2 (P＜ 0.05). Conclusions? The biofeedback exercise could significantly improve the sensory indicators of patients with middle and low rectal cancer and promote recovery.
