Therapeutic Effect Of Intermediate Frequency Electrical Stimulation Combined With Abdominal Breathing Training On Functional Constipation

Objective: Patients with functional constipation were included in the study and randomized controlled trials were used.Gastrointestinal electrogram and surface electromyography system were used to evaluate the changes of colonic and abdominal myoelectricity in constipation subjects,and to explore the gastrointestinal motility and abdomen of subjects with functional constipation in intermediate frequency and abdominal breathing training.The effects of muscle strength are evaluated in conjunction with relevant scales.Provide scientific basis for the application of intermediate frequency and combined abdominal breathing training in clinical or family therapy.Methods: Randomization principle.135 subjects who met the criteria were randomly divided into 3 groups,45 cases in each group by SPSS21.0 software;129 cases were finally completed,44 cases in the drug group,43 cases in the intermediate frequency group,and 42 cases in the intermediate frequency combined with abdominal breathing training group.The drug group was treated with Maren soft capsules,1 time each morning and evening,2 capsules each time,20 days of treatment;intermediate frequency group selected medium frequency treatment instrument to stimulate bilateral Tianshu and Dachangyu points,once a day,5 times a week,20 minutes each time,20 days of treatment;intermediate frequency combined with abdominal breathing training group,on each basis of the intermediate frequency electric therapy to increase abdominal breathing training,once a day,the total time of each training is 20 minutes,subjects can be dispersed according to their own conditions for 20 days.Three groups of subjects underwent two data acquisitions before and after intervention,including gastrointestinal electrogram(colon electromyography),surface electromyography(bilateral rectus abdominis,intra-and external-abdominal obliques),CCS,BSFS,PACQOL,SAS,and SDS.Results: 1.The baseline of subjects in all the groups were comparable(P>0.05).2.CCS:The CCS scores of the three groups were improved compared with those before the intervention,and the difference was statistically significant(P<0.05).Compared with the drug group,the CCS scores of the intermediate frequency group and the intermediate frequency combined with the abdominal breathing training group decreased significantly,the difference was statistically significant(P<0.05).Compared with the intermediate frequency group,the CCS score of the intermediate frequency combined with the abdominal breathing training group was change,but the difference was not statistically significant(P>0.05).3.BSFS : After three interventions,the BSFS scores of the groups before the intervention were improved,and both were statistically significant(P<0.05).Compared with the drug group,the BSFS scores of the intermediate frequency group and intermediate frequency combined with abdominal breathing training group were not significantly different(P>0.05).Compared with the intermediate frequency group,the BSFS scores of the intermediate frequency combined with abdominal breathing training group were changed,but no statistical significance(P>0.05).4.PAC-QOL:The PAC-QOL scores of the three groups were improved compared with those before the intervention,and the differences were statistically significant(P<0.05).Compared with the drug group,the scores of the intermediate frequency group and the intermediate frequency combined with abdominal breathing training group were lower,and the difference was statistically significant(P<0.05).Compared with the intermediate frequency group,the PAC-QOL score of the intermediate frequency combined with abdominal breathing training group was not obvious,the difference was not statistically significant(P>0.05).5.SAS、SDS:The SAS and SDS scores of the three groups were compared with those of the groups before P<0.05,which was statistically significant.Compared with the drug group,the SAS and SDS scores of the intermediate frequency group were not significantly decreased,the difference was not statistically significant(P>0.05). However,the SAS and SDS scores of the intermediate frequency combined with abdominal breathing training group decreased significantly,and the difference was statistically significant(P<0.05).Compared with the intermediate frequency group,the SAS and SDS scores of the intermediate frequency combined with abdominal breathing training group improved significantly,and the difference was statistically significant(P<0.05).6.Colonic electrical data:After 20 days of intervention,the mean frequency of the drug group increased after meals,the difference was statistically significant(P<0.05),but the average frequency before meals and the average amplitude before and after meals were not significantly different(P>0.05).The average frequency and average postprandial amplitude of the intermediate frequency group were improved before and after meals,the difference was statistically significant(P<0.05),but there was no significant difference in the average amplitude before meals(P>0.05).The average frequency and mean amplitude of pre-meal and post-meal were improved in the intermediate frequency combined abdominal breathing training group,and the difference was statistically significant(P<0.05).Compared with the drug group,the average frequency and average amplitude in intermediate frequency group and the intermediate frequency combined with abdominal breathing training group before and after the meal were improved,the differences were statistically significant(P<0.05).Compared with the intermediate frequency group,the average frequency and mean amplitude of the intermediate frequency combined with abdominal breathing training group did not change significantly,which has no statistical significance(P>0.05).7.EMG data of RA、IO、EO:After 20 days of intervention,the RMS values of RA,IO,and EO in the drug group did not change significantly,the difference was not statistically significant(P>0.05).The RMS value of RA in the intermediate frequency group was improved,the difference was statistically significant(P<0.05),the RMS values of IO and EO did not improve significantly,and the difference were not statistically significant(P>0.05);the RMS values of RA and IO in the intermediate frequency combined with abdominal breathing training group were changed and the differences were statistically significant(P<0.05),but the RMS value of EO was not statistically significant(P>0.05).Compared with the drug group,the RMS values of RA in the intermediate frequency group improved,the differences were statistically significant(P<0.05),but the RMS values of IO and EO did not change significantly,which was not statistically significant(P>0.05).Compared with the drug group,the RMS values of RA and IO in the intermediate frequency combined with abdominal breathing training group were improved,the differences were statistically significant(P<0.05),and the RMS value of the left EO was not statistically significant(P>0.05),the value of right EO changed,the difference was statistically significant(P<0.05).Compared with the intermediate frequency group,the RMS values of RA and IO in the intermediate frequency combined with abdominal breathing training group changed,the differences were statistically significant(P<0.05),there was no change in the RMS value EO,and the difference was not statistically significant(P>0.05).Conclusion: 1.Intermediate frequency combined with abdominal breathing training is superior to drug therapy in improving the clinical symptoms and quality of life of patients with functional constipation,but it is equivalent to the effect of intermediate frequency electrical stimulation.2.Intermediate frequency combined with abdominal breathing training can improve anxiety and depression in patients with functional constipation significantly.3.Intermediate frequency combined with abdominal breathing training and intermediate frequency electrical stimulation can promote colonic movement in patients with functional constipation.Both of them have comparable efficacy and are superior to drug therapy.4.Intermediate frequency combined with abdominal breathing training can enhance the strength of abdominal muscles in patients with functional constipation.