电邮这篇文章 体外磁刺激在儿童肛门直肠畸形手术后医疗康复中的应用
- 作者: Lyan N.A.1,2, Khan M.A.1,3, Lvova A.V.1, Menovshchikova L.B.3, Kostomarova E.A.3
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隶属关系:
- S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
- The First Sechenov Moscow State Medical University
- Filatov Childrens City Clinical Hospital
- 期: 卷 24, 编号 2 (2025)
- 页面: 133-142
- 栏目: Original studies
- ##submission.datePublished##: 19.05.2025
- URL: https://rjpbr.com/1681-3456/article/view/677081
- DOI: https://doi.org/10.17816/rjpbr677081
- EDN: https://elibrary.ru/GJQUDW
- ID: 677081
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详细
现实意义。肛门直肠畸形在儿童先天性发育畸形中占有重要地位。直肠成形术后儿童医疗康复技术的研发是一个亟待解决的问题。医疗康复是针对排便的正常化、增强直肠括约肌、骨盆底肌肉的张力、恢复排便反射和降低自主神经功能障碍。
研究目的 — 论证体外磁刺激在儿童肛门直肠畸形手术后的应用合理性。
材料和方法。在一项开放式对照临床研究中，接受调查的是77名肛门直肠畸形手术的儿童，动态年龄为5.99±3.22岁，分为两组：39名儿童接受了体外磁刺激，38名儿童没有接受物理治疗。所有儿童都接受了运动疗法，包括加强骨盆底肌肉的锻炼。为了评估治疗效果，对会阴和盆底结构进行了超声检查，并对直肠血管进行了多普勒超声检查。
结果。在体外磁刺激下，主要临床症状出现了积极的动态变化，表现为大肠排便功能得到改善，以及大便失禁发作次数的减少。根据超声波检查数据，肛门通道、肌肉外展肌大小（p=0.04）、右侧（p=0.004）和左侧（p=0.012）外括约肌厚度、耻骨直肠环大小（p=0.009）均有明显增加，且有统计学意义。根据直肠下段血管多普勒检查数据，腹腔内血流指标有改善的趋势。在3、6、12个月后，远期结果证实所取得的积极效果下降。
结论。根据已进行的研究确定，体外磁刺激对儿童肛门直肠畸形的主要临床功能指标具有积极作用。远程结果的分析证实，进行体外磁刺激重复疗程的合理性。
全文:
作者简介
Natalia A. Lyan
S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine; The First Sechenov Moscow State Medical University
编辑信件的主要联系方式.
Email: nlyan@yandex.ru
ORCID iD: 0000-0003-1566-2739
SPIN 代码: 5391-7523
MD, Cand. Sci. (Medicine), Assistant Professor
俄罗斯联邦, Moscow; MoscowMaya A. Khan
S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine; Filatov Childrens City Clinical Hospital
Email: 6057016@mail.ru
ORCID iD: 0000-0002-1081-1726
SPIN 代码: 1070-2800
Dr. Sci. (Medicine), Professor
俄罗斯联邦, Moscow; MoscowAnastasia V. Lvova
S.I. Spasokukotsky Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
Email: nas.lwowa199614@yandex.ru
ORCID iD: 0009-0002-0954-9115
SPIN 代码: 8589-0349
俄罗斯联邦, Moscow
Lyudmila B. Menovshchikova
Filatov Childrens City Clinical Hospital
Email: ludmilam-2205@yandex.ru
ORCID iD: 0000-0002-0780-9254
Dr. Sci. (Medicine), Professor
俄罗斯联邦, MoscowElena A. Kostomarova
Filatov Childrens City Clinical Hospital
Email: elena@alex-art.ru
MD, Cand. Sci. (Medicine)
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