Clinical efficacy of adaptive biofeedback training combined with oral administration of compound polyethylene glycol 4000-electrolyte powder in the treatment of children with outlet obstruction constipation: a prospective randomized controlled trial.
10.7499/j.issn.1008-8830.2112001
- Author:
Rui-Feng WANG
1
;
Fang ZHOU
1
;
Huan WANG
1
;
Zhi-Dan YU
1
;
Xiao-Qin LI
1
Author Information
1. Department of Gastroenterology, Henan Children's Hospital/Children's Hospital Affiliated to Zhengzhou University/Zhengzhou Children's Hospital/Zhengzhou Key Laboratory of Children's Digestive Diseases, Zhengzhou 450018, China.
- Publication Type:Randomized Controlled Trial
- Keywords:
Adaptive biofeedback;
Child;
Compound polyethylene glycol 4000-electrolyte powder;
Outlet obstruction constipation
- MeSH:
Administration, Oral;
Biofeedback, Psychology;
Child;
Constipation/drug therapy*;
Electrolytes/therapeutic use*;
Humans;
Polyethylene Glycols/therapeutic use*;
Powders/therapeutic use*;
Prospective Studies;
Treatment Outcome
- From:
Chinese Journal of Contemporary Pediatrics
2022;24(4):377-381
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To study the clinical efficacy, advantages, and disadvantages of adaptive biofeedback training combined with oral administration of compound polyethylene glycol 4000-electrolyte powder in the treatment of children with outlet obstruction constipation (OOC).
METHODS:A total of 168 children with OOC were enrolled in this prospective study. All the subjects were randomly divided into a test group and a control group based on the order of visiting time, 84 in each group. The test group was treated with adaptive biofeedback training combined with oral administration of compound polyethylene glycol 4000-electrolyte powder, and the control group was treated with oral administration of compound polyethylene glycol 4000-electrolyte powder alone. Eleven children in the test group and two children in the control group withdrew from the study since they could not finish the whole treatment course. Finally, 73 children in the test group and 82 children in the control group were included in this analysis. As clinical outcomes, the total score of clinical symptoms and overall response rate were compared between the two groups at weeks 4 and 8 of treatment.
RESULTS:There was no significant difference in the total score of clinical symptoms between the two groups at beginning of treatment and at week 4 (P>0.05), while the test group had a significantly lower total score of clinical symptoms than the control group at week 8 (P<0.05). At week 4, there was no significant difference in overall response rate between the two groups (P>0.05), while the test group had a significantly higher overall response rate than the control group at week 8 (P<0.05).
CONCLUSIONS:Adaptive biofeedback training combined with oral administration of compound polyethylene glycol 4000-electrolyte powder is significantly associated with improvement of clinical outcomes in the treatment of children with OOC.
