The Therapy And Anorectal Dynamics Monitoring Of Infantile Functional Constipation

Objective:To observe the anorectal manometry parameter in different type of functional constipation children of different age and evaluation the therapeutic effect of functional constipation children.Methods:?1?According to the colon transmission experiment,the FC children at the age of 10-16years?A group?was divided into 2 groups:A_STCTC group?STC group?,A_OOC group?OOC group?,choosing C group?healthy control group,10-16years?compared with A,FC children at the age of1-10years?B group?was divided into 2 groups:B_STC group?STC group?,B_OOC group?OOC group?,selecting D group?healthy control group,1-10years?compared with B.To observe the characteristic of anorectal manometry parameter in different type of functional constipation children of different age.?2?The B and A_STC group took the treatment of compound polyethylene glycol,while the A_OOC group took the therapy of biofeedback,then calculated the curative effecet by using the form of Clinical symptoms of constipation formulated by Rome III criteria.Results:?1?In comparison of random two groups(B,B_STC,B_OOC,D),it did not show significant difference in rectal resting pressure,anal canal resting pressure and reduction of Diastolic pressure of anal canal.?2?A group was significantly lower than C group in reduction of Diastolic pressure and rectal pressure at the time of defecation,but higher than C group in minimum and maximum rectal filling sensation thresholds.?3?Comparing after treatment and before treatment of B group,it showed significant difference in defecation interval,difficult defacation/pain of defacation,stool property,abdominal distension and total score.?4?The A group after treatment was obviously lower than A group before treatment in defecation interval,difficult defacation/pain of defacation,incompatible defacation,stool property,abdominal distension and total score.Conclusions:?1?The functional constipation children?1-10years?showed no significant difference comparing with healthy control group in characteristic of anorectal manometry parameter.?2?The anal internus sphincter of outlet obstrution constipation children?10-16years?may suffer varying degrees damages,the rectal region lacked of motivation for defacating while anal pressure abnormally rised resulted in difficult defacation,the rise of maximum systolic pressure of anal canal indicated that anal externus sphincter may have dysfunction,the rise of the minimum and maximum rectal filling sensation thresholds demonstrated that rectal sensitivity reduced to a certain extent.The characteristic of anorectalmanometryparameterofslowtransitconstipation children?10-16years?only showed the reduction of rectal sensitivity.?3?The functional constipation children?1-10years?after taking compound polyethylene glycol orally visibly relieved to some extent in defecation interval,difficult defacation/pain of defacation,stool property,abdominal distension and total score.?4?The slow transit constipation children?10-16years?after taking compound polyethylene glycol orally obviously relieved in defecation interval and total score.The outlet obstrution constipation children?10-16years?after biofeedback therapy significantly relieved in defecation interval,difficult defacation/pain of defacation,incompatible defacation and total score.