目的 探讨中西医结合康复方案干预脊髓损伤后神经源性肠道功能障碍(NBD)患者便秘的临床有效性。 方法 选取2020年3月至2021年1月期间南昌大学第一附属医院收治的脊髓损伤NBD患者60例，随机分成对照组和观察组各30例。对照组予常规康复治疗，进行肠道功能训练，实验组在此基础上再配合中西医结合康复方案。比较两组每周自发排便的次数、美国脊髓损伤协会(ASIA)评分、NBD评分、便秘患者生活质量量表(PAC-QOL)评分。 结果 干预4 w后，两组NBD评分、PAC-QOL评分较治疗前均明显下降(均P<0。05)，实验组每周自发排便次数、ASIA评分较治疗前均明显上升(均P<0。05)，且实验组每周自发排便次数、NBD评分、PAC-QOL评分与对照组比较差异均有统计学意义(均P<0。05)。Pearson相关性分析结果显示：NBD评分、PAC-QOL评分与ASIA评分呈负相关(P<0。05)，每周自发排便次数与ASIA评分呈正相关(P<0。05)。 结论 中西医结合康复方案干预脊髓损伤后NBD患者便秘的临床疗效较好，神经源性肠道功能状态有效改善，生活质量得到提高。 Objective To investigate the clinical effectiveness of the rehabilitation program of integrated Chinese and western medicine in the intervention of neurogenic intestinal constipation after spinal cord injury。 Methods A total of 60 patients with neurogenic intestinal tract with spinal cord injury admitted to the hospital from March 2020 to January 2021 were selected。 They were randomly divided into the control group and the observation group with 30 cases each。The control group received routine rehabilitation treatment and intestinal function training， and the experimental group was combined with the rehabilitation program of integrated Chinese and western medicine on this basis。The frequency of spontaneous defecation per week， American Spine Injury Association (ASIA) score， Neurogenic Bowel Dysfunction (NBD) score， and Patient-Assessment of Constipation Quality of Life(PAC-QOL) score were used to evaluate the patients。 Results After 4 weeks of intervention， NBD scores and PAC-QOL scores in both groups were significantly decreased compared with those before treatment(P<0。05)。 Compared with before treatment， the average number of spontaneous defecation per week and ASIA score in the experimental group were significantly increased (P<0。05)。 Compared with the control group， the number of weekly self-defecation， NBD score and PAC-QOL score of the experimental group had statistical significance (P<0。05)。 Pearson correlation analysis showed that the average number of spontaneous defecation per week， NBD score， PAC-QOL score were correlated with ASIA score， and NBD score， PAC-QOL score were negatively correlated with ASIA score(P<0。05)。 The average number of spontaneous defecation per week was positively correlated with ASIA score (P<0。05)。 Conclusions The clinical curative effect of the combination of Chinese and western medicine and the rehabilitation program intervention in the postoperative nerve source injury of the spinal cord injury was better， the function of the nerve source intestinal function was improved effectively， and the quality of life was improved， which was suitable for the application of clinical popularization。
Effect of rehabilitation program of integrated Chinese and western medicine on constipation in patients with neurogenic intestinal tract caused by spinal cord injury
Objective To investigate the clinical effectiveness of the rehabilitation program of integrated Chinese and western medicine in the intervention of neurogenic intestinal constipation after spinal cord injury. Methods A total of 60 patients with neurogenic intestinal tract with spinal cord injury admitted to the hospital from March 2020 to January 2021 were selected. They were randomly divided into the control group and the observation group with 30 cases each.The control group received routine rehabilitation treatment and intestinal function training, and the experimental group was combined with the rehabilitation program of integrated Chinese and western medicine on this basis.The frequency of spontaneous defecation per week, American Spine Injury Association (ASIA) score, Neurogenic Bowel Dysfunction (NBD) score, and Patient-Assessment of Constipation Quality of Life(PAC-QOL) score were used to evaluate the patients. Results After 4 weeks of intervention, NBD scores and PAC-QOL scores in both groups were significantly decreased compared with those before treatment(P<0.05). Compared with before treatment, the average number of spontaneous defecation per week and ASIA score in the experimental group were significantly increased (P<0.05). Compared with the control group, the number of weekly self-defecation, NBD score and PAC-QOL score of the experimental group had statistical significance (P<0.05). Pearson correlation analysis showed that the average number of spontaneous defecation per week, NBD score, PAC-QOL score were correlated with ASIA score, and NBD score, PAC-QOL score were negatively correlated with ASIA score(P<0.05). The average number of spontaneous defecation per week was positively correlated with ASIA score (P<0.05). Conclusions The clinical curative effect of the combination of Chinese and western medicine and the rehabilitation program intervention in the postoperative nerve source injury of the spinal cord injury was better, the function of the nerve source intestinal function was improved effectively, and the quality of life was improved, which was suitable for the application of clinical popularization.
Raw rhubarbMulti-frequency vibration therapy instrumentFunctional exerciseSpinal cord injuryNeurogenic intestinal tractConstipation
万方数据
