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Application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence after operation of hirschsprung’s disease
SUN Ying   YIN Qiang▲   TANG Qian   LIU Qin  WAN Sihong   PENG Xia
The First Department of General Surgery, Hu’nan Children’s Hospital, Hu’nan Province, Changsha   410007, China
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Abstract  Objective To explore the application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence (FI) after operation of hirschsprung’s disease (HD). Methods Atotal of 85 childrens with HD treated in a Three Grade A Class Children’s Hospital from December 2017 to December 2019 were selected as the research subjects, divided them by random number table method into control group 43 cases and observation group 42 cases. Both groups were given routine intervention, on this basis, the control group was received electrical stimulation biofeedback intervention, the observation group was given rehabilitation nursing on the basis of the control group, the intervention effect was evaluated after continuous intervention for five weeks, including monitoring rectal sensory threshold, anorectal dynamics. Results The initial sensory capacity, defecation sensory capacity and the strongest defecation capacity were compared of children in both groups before intervention, there were no statistical significant differences (P > 0.05); after five weeks of intervention, the initial sensory capacity, defecation sensory capacity and the strongest defecation capacity of children in both groups were higher than those before intervention, and the observation group was higher than the control group, and there were statistical significant differences (P < 0.05); the maximum systolic pressure, the longest systolic time and the resting pressure of anal canal were compared of children in two groups before intervention, there were no statistical significant differences (P > 0.05); after five weeks of intervention, the maximum systolic pressure, the longest systolic time and the resting pressure of anal canal of children in groups were higher than those before intervention, and the observation group was higher than the control group, and there were statistical significant differences (P < 0.05). Conclusion Children with FI after operation of HD receiving electrical stimulation biofeedback intervention combined with rehabilitation nursing have ideal benefits, the rectal sensory threshold and anorectal dynamics are improved.
Key wordsHirschsprung’s disease      Fecal incontinence      Electrical stimulation      Biofeedback      Rectal sensation     
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SUN Ying YIN Qiang▲ TANG Qian LIU Qin WAN Sihong PENG Xia
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SUN Ying YIN Qiang▲ TANG Qian LIU Qin WAN Sihong PENG Xia. Application of electrical stimulation biofeedback intervention combined with rehabilitation nursing in children with fecal incontinence after operation of hirschsprung’s disease[J]. 中国医药导报, 2021, 18(21): 173-176.
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https://www.yiyaodaobao.com.cn/EN/     OR     https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I21/173
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