Objective:To analyze the clinical efficacy of two different models of biofeedback combined with electrical stimula-tion in the treatment of functional anorectal pain and its accompanying symptoms such as defecation difficulties,so as to provide reference for making individual treatment programs.Methods:A total of 111 patients with functional anorectal pain admitted to the Proctology Department of Chongqing Hospital of Traditional Chinese Medicine from January to July 2022 were divided into two cat-egories according to whether they were accompanied by defecation difficulties.The first group of 60 patients with difficulty in defecation symptoms were randomly divided into 2 groups,who were treated with biofeedback combined with electrical stimulation mode 1 and bio-feedback combined with electrical stimulation mode 2 respectively.The second category of patients with no accompanying symptoms,51 cases,were randomly divided into two groups,25 cases were treated with biofeedback combined with electrical stimulation mode 1,and 26 case were treated with biofeedback combined with electrical stimulation mode 2.The improvement of symptoms,functional recovery and the change of Glazer evaluation results of pelvic floor function in each group were observed after treatment.Results:After one course of biofeedback combined with electrical stimulation,the Glazer evaluation results of pelvic floor function in all groups were better than those before treatment(P＜0.05).The total effective rate was 93.33％(28/30)in 30 patients treated with biofeedback combined with elec-trical stimulation mode 1.In 30 patients treated with mode 2,the total effective rate was 73.33％(22/30)(P＜0.05).Among the 51 patients without symptoms of difficulty in defecation,25 patients were treated with biofeedback combined with electrical stimulation mode 1,and the total effective rate was 68.00％(17/25);26 patients were treated with mode 2,and the total effective rate was 96.16％(25/26)(P＜0.05).Conclusions:Biofeedback combined with electrical stimulation is effective in treating functional anorectal pain.For patients with difficulty in defecation,the mode 1 based on electrical stimulation and supplemented with Kegel training is more effective than mode 2.For the patients without difficulty in defecation,the effect of mode 2,electric stimulation for anal sphincter strength followed by Kegel training,is better than mode l.
维普
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