脊髓损伤神经源性肠道功能障碍患者经肛门灌洗的效果
Effect of transanal irrigation for patients with neurogenic bowel dysfunction after spinal cord injury
王春霞 1卢晓霞 2李静 1何鑫雨 1章梅云1
作者信息
- 1. 浙江大学医学院附属第一医院护理部(浙江杭州,310003)
- 2. 浙江大学医学院附属第一医院康复科(浙江杭州,310003)
- 折叠
摘要
目的 探讨经肛门灌洗在脊髓损伤神经源性肠道功能障碍患者中的应用效果.方法 将80例脊髓损伤后肠道功能障碍患者按住院先后顺序分为对照组(40例)和干预组(40例);对照组实施常规肠道管理方案,干预组在常规护理基础上使用简易工具进行经肛门灌洗.结果 两组各有39例完成全程研究.干预后干预组腹胀发生率及排便频率得分显著低于对照组(均P＜0.05).结论 经肛门灌洗可有效减轻脊髓损伤后肠功能障碍患者腹胀、排便频率异常等肠道症状,改善患者肠道功能.
Abstract
Objective To investigate the effect of transanal irrigation(TAI)in patients with neurogenic bowel dysfunction(NBD)af-ter spinal cord injury.Methods Totally 80 patients with NBD after spinal cord injury were divided into a control group and an ex-perimental group in the order of hospitalization,with each group having 40 cases.The control group was given routine bowel management care while the experimental group was given TAI implemented by nurses using simple appliances on the basis of the control group.Results There were 39 cases completing the study in each group.After the intervention,the incidence rates of bloa-ting,and defecation frequency score in the experimental group were significantly lower than those in the control group(all P＜0.05).Conclusion TAI can significantly reduce such bowel dysfunction symptoms as bloating and abnormal defecation frequency in patients with NBD after spinal cord injury,and effectively improve bowel function.
关键词
神经源性肠道功能障碍/脊髓损伤/经肛门灌洗/肠道功能/腹胀/便秘/失禁Key words
neurogenic bowel dysfunction/spinal cord injury/transanal irrigation/bowel function/bloating/constipation/incontinence引用本文复制引用
基金项目
中华护理学会科研项目(2021)(ZHKY202114)
浙江大学医学院附属第一医院护理科研项目(2022ZYHL044)
出版年
2024
NETL
NSTL
万方数据