Diaphragm muscle biofeedback training on the Rehabilitation of gastroesophageal

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Diaphragm muscle biofeedback training on the Rehabilitation of gastroesophageal reflux disease
 
 
* Table I the two groups of 35 major clinical symptoms and improvement of the comparison points (X ~ sl2.2 comparison of two groups,You are not allowed to view links. Register or Login, Yuan 2 Table 2 Comparison of two groups n (%) 5.96P  O.05). 2.4 Long-term effect after 4 weeks of treatment, the main symptom score was 5.64 ± 3.41 points,You are not allowed to view links. Register or Login, follow-up 2 months after the main symptoms points to 5.92 ± 4.1O points,You are not allowed to view links. Register or Login, before and after their was no significant difference (P> 0.05); control group the main symptom scores after 4 weeks was 6.95 ± 3.17 points,You are not allowed to view links. Register or Login, follow-up after 2 months Main symptom score was 8.15 ± 3.05 points, before and after their significant differences (P <O.01). show that the stability of treatment group and control group tend to relapse after treatment. 3 Discussion digestion GERD is a common clinical tract disease, in the population have a higher incidence of chronic process was affecting the health of people of all ages and quality of life, it becomes the research focus of the medical profession over the years. In terms of treatment, is currently still the main means of PPI But faced with the recurrence rate after stopping the problem. research shows that, GERD patients, 1 / 3 of patients need to maintain continuous medication, and 2 / 3 of patients need intermittent maintenance therapy [1], causing many patients need long-term treatment, poor compliance, also brings significant economic burden. Therefore, the search for the ideal treatment is of clinical concern. In this paper, the diaphragm biofeedback training in treatment of GERD, and achieved satisfactory results. clinical observations, diaphragm biofeedback training can significantly improve the heartburn, chest pain , acid reflux and other symptoms, compared with the control group, the degree of heartburn, chest pain Improvement of frequency than the control group (P <0.05). discontinuation 2 months follow-up found that the main symptom total score of the treatment group and the end of treatment when the total score was no significant difference, indicating that more precise long-term efficacy; and the control group total score of the end of treatment and follow-up 2 months after the total score of the main symptoms were significantly different (P <O.O1), show that the long-term less effective, there is tendency of recurrence. The mechanism that biofeedback training may increase diaphragmatic gastroesophageal anti-reflux barrier. GEI occurrence of defense mechanisms against the decreased reflux, GERD's defense mechanisms, including anti-reflux on the sphincter of the gastrointestinal tract that the pyloric sphincter, LES and upper esophageal sphincter function (from the esophagus of further anti-pharyngeal airway flow), gastric emptying and esophageal clearance function, as well as esophageal wall material on the resistance of the role of reflux. this series Construction of a complete defense function anti-reflux barrier. The most important thing is gastroesophageal junction (EGJ) function of the anti-reflux, because the region's defense reduces gastroesophageal reflux makes it possible, resulting in aggressive factors such as gastric acid pepsin and other errors shift, mucosal irritation and damage. study, LES relaxation in the reflux is important]. EGJ now very concerned about the LES and every foot of the anti-reflux barrier, in particular, noted that every foot role as a sphincter-like effect of strengthening the LES barrier. study found that GERD patients with resting tension across the foot was significantly lower than that though, but in deep breathing in patients with GERD maximum tension across the foot, with no significant human health difference, and can reach 2 to 3 times the LESP, suggesting that patients with GERD, such as through the diaphragm every foot biofeedback training, which can help strengthen the anti-reflux barrier E4]. This diaphragm biofeedback training GERD provides theory and practice evidence.