Abstract: Objective To explore the effect of nutritional enema combined with biofeedback in the treatment of modified colitis. Methods Ninety-six patients were randomized into three groups according to digital method. Nutrition enema combined biofeedback training was experimental group 1, biofeedback training was experimental group 2, and routine treatment patients were used as control group. Results Enteroscopy in the three groups were compared, the defecation times, abdominal pain and mucus defecation before and after treatment were compared, and the pelvic floor muscle strength was evaluated before and after treatment. Results the clinical efficacy of test group 1 was higher than that of test group 2 and routine treatment group （P< 0.05）, and that of test group 2 was higher than that of routine treatment group （P< 0.05）. The frequency of abdominal pain, mucus defecation and defecation in test group 1 was significantly lower than that in test group 2 and control group （P< 0.05）. The evaluation value of pelvic floor muscle strength in group 1 and group 2 was significantly better than that in control group （P< 0.05）. There was no significant difference between group 1 and group 2 （P> 0.05）. The results of enteroscopy showed no erythema swelling, erosive ulcer and inflammatory polyp in group 1, which was significantly better than that in group 2 and control group （P< 0.05）. Conclusion Nutritional enema combined with biofeedback can improve the therapeutic effect of modified enteritis, improve postoperative abdominal pain, defecation, increase the frequency of defecation, increase pelvic floor muscle strength, reduce the incidence of erythema swelling, erosive ulcer and inflammatory polyp, and reduce the incidence of distal intestinal diversion colitis.

Key words: rectal cancer, biofeedback, nutritional enema, ileostricture, diversion colitis

摘要： 目的 探讨营养灌肠联合生物反馈治疗改道性肠炎的效果。方法 将96位患者按数字随机法分为三组,营养灌肠联合生物反馈训练为试验组1,生物反馈训练为试验组2,常规治疗患者为对照组,观察三组患者三个月肠镜结果对比、回纳术后排便次数、腹痛、排粘液便、治疗前后盆底肌力评估值。结果 试验组1临床疗效高于试验组2和常规治疗组（P<0.05）,试验组2临床疗效高于常规治疗组（P<0.05）,试验组1回纳术后并发症腹痛、粘液便、排便次数明显低于试验组2和对照组（P<0.05）,治疗后盆底肌力评估值试验组1和试验组2明显优于对照组（P<0.05）、试验组1和试验组2无明显差别（P>0.05）。肠镜下结果有无红斑肿胀、糜烂溃疡、炎性息肉试验组1明显优于试验组2和对照组（P<0.05）。结论 营养灌肠联合生物反馈能提高改道性肠炎的治疗效果,改善术后腹痛、排粘液便、排便次数增多症状,提高盆底肌力,减少红斑肿胀、糜烂溃疡、炎性息肉发生率,减少了远端肠管改道性结肠炎发生率。

关键词: 回肠造口, 生物反馈, 营养灌肠, 直肠癌, 改道性结肠炎