Therapeutic effect and psychological influence of biofeedback pelvic floor muscle training on fecal incontinence after anorectal surgery in children
Objective To explore the therapeutic effect and psychological influence of biofeedback pelvic floor muscle training on fecal incontinence after anorectal surgery in children.Methods A retrospective case-control study.A total of 37 children who were admitted to the First Affiliated Hospital of Xinxiang Medical University from July 2021 to April 2023 for fecal incontinence after anorectal surgery were collected.Biofeedback pelvic floor muscle training was performed with a Laborie biofeedback therapy device,and pelvic floor muscle contraction function exercise was performed no less than 200 times a day.The anal canal current intensity,basic motion myoelectric value,contractile myoelectric difference and continuous anal contraction time were measured at before treatment,at the end of 1 course,1 month and 1 year after treatment.Ten healthy children of the same age were selected as the healthy control group.The Strengths and Difficulties Questionnaire was used for psychological evaluation at before treatment and 1 year after treatment.Paired sample t test and independent sample t test were used to compare and analyze the results of this study.Results Before treatment,at the end of 1 course,1 month and 1 year after treatment,the anal canal current intensity of children with fecal incontinence were(11.32±1.92)mA,(10.22±1.28)mA,(8.45±1.09)mA,and(7.80±1.23)mA,respectively;the anal canal basic motion myoelectric value were(235.58±55.03)μV,(185.65±34.30)μV,(124.81±36.56)μV,and(93.99±28.29)µV,respectively;the anal canal contractile myoelectric difference were(45.64±20.38)µV,(64.20±16.59)µV,(93.63±25.53)μV,and(109.83±26.95)μV,respectively;the continuous anal contraction time were(1.27±0.43)s,(1.58±0.40)s,(2.04±0.39)s,and(2.47±0.38)s,respectively.These parameters before treatment,at the end of 1 course and 1 month after treatment were significantly different from those in the healthy control group[(7.20±1.09)mA,(88.65±21.76)μV,(120.73±27.57)μtV,(2.68±0.29)s](all P＜0.05).These parameters at 1 year after treatment were significantly different from those before treatment and 1 month after treatment(all P＜0.05).However,there were no significant differences in these parameters between the healthy control group and the treatment group at 1 year after treatment(all P＞0.05).There were statistically significant differences in emotional symptoms,hyperactivity symptoms,peer interaction,prosocial behavior and difficulty scores before and after treatment[(3.46±1.88)points vs.(2.59±1.32)points,(5.78±2.12)points vs.(3.70±1.78)points,(3.05±1.72)points vs.(2.49±1.30)points,(7.30±1.54)points vs.(8.27±1.39)points,(21.57±4.57)points vs.(18.54±3.14)points](all P＜0.05).Conclusions Biofeedback pelvic floor muscle training is a reliable and non-invasive method for the treatment of postoperative fecal incontinence after anorectal surgery in children and can effectively relieve the psychological and behavioral problems caused by fecal incontinence in children.
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