脊髓损伤患者不同便秘程度结肠通过时间比较
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摘要
目的比较不同便秘程度脊髓损伤患者的结肠通过时间。方法 2015年6月至2017年9月,73例男性圆锥上脊髓损伤患者根据便秘程度分为轻度便秘组(n=25)和重度便秘组(n=48),采用不透X线标记物追踪法测试全结肠、升结肠(包括结肠右曲)、横结肠、降结肠(包括结肠左曲)及直肠乙状结肠的通过时间。结果重度便秘组全结肠、横结肠及降结肠通过时间大于轻度便秘组(P <0.05);两组均为直肠乙状结肠通过时间最长(P <0.05)。结论男性脊髓损伤便秘患者不同节段结肠通过时间有差异,应针对目标结肠进行干预。
Objective To analyze the colonic transit time in patients with different severities of constipation.Methods From June, 2015 to September, 2017, 73 male patients with supraconal spinal cord injury were grouped as mild constipation group(n = 25) and severe constipation group(n = 48). They were measured the transit time of entire colorectum, ascending colon(including the right colic flexure), transverse colon, descending colon(including the left colic flexure) and rectosigmoid with Abrahamsson method.Results The transit time of entire colorectum, transverse colon, descending colon increased in the severe constipation group compared with that of the mild constipation group(P < 0.05). For each group, the transit time of rectosigmoid was the longest among colon segments(P < 0.05).Conclusion The colonic transit time of SCI male patients with various constipation is different in colon segments. Accurate interventions are needed to target colon segments.
Objective To analyze the colonic transit time in patients with different severities of constipation.Methods From June, 2015 to September, 2017, 73 male patients with supraconal spinal cord injury were grouped as mild constipation group(n = 25) and severe constipation group(n = 48). They were measured the transit time of entire colorectum, ascending colon(including the right colic flexure), transverse colon, descending colon(including the left colic flexure) and rectosigmoid with Abrahamsson method.Results The transit time of entire colorectum, transverse colon, descending colon increased in the severe constipation group compared with that of the mild constipation group(P < 0.05). For each group, the transit time of rectosigmoid was the longest among colon segments(P < 0.05).Conclusion The colonic transit time of SCI male patients with various constipation is different in colon segments. Accurate interventions are needed to target colon segments.
引文
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[15]高峥嵘,荆彦平,骆宾,等.MRI排粪电影联合消化道传输试验对便秘诊断价值探讨[J].中国CT和MRI杂志,2017,15(2):105-108.
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[18]何梅,孙爱静,薛润芳.盆底肌电刺激对脊髓损伤患者便秘的疗效察[J].中国康复理论与实践,2013,19(6):565-567.
[19]逯晓蕾,李建军,杜良杰,等.脊髓损伤后肠道功能的变化[J].中国康复理论与实践,2010,16(8):758-760.
[20]吴娟,李建军,王兰,等.脊髓损伤与肠道功能障碍[J].中国康复医学杂志,2002,17(6):370-372.
[21]Salvioli B,Bazzocchi G,Barbara G,et al.Rectosigmoid compliance and visceral perception in spinal cord injury pa‐tients[J].Eur J Gastroenterol Hepatol,2012,24(3):340-345.
[2]徐青,高飞,王磊,等.脊髓损伤后肠道功能障碍:美国临床实践指南解读[J].中国康复理论与实践,2010,16(1):83-86.
[3]张世民,侯春林.脊髓损伤患者排便功能障碍的康复[J].国外医学物理医学与康复,1999,19(3):97-100.
[4]侯翔宇,王维林,袁正伟,等.脊髓拴系综合征术后结肠传输时间测定及意义[J].中华小儿外科杂志,2005,26(2):65-67.
[5]王红星,周士枋.脊髓损伤后肠道功能障碍[J].中国康复理论与实践,2002,8(3):174-177.
[6]Krogh K,Mosdal C,Laurberg S.Gastrointestinal and segmen‐tal colonic transit times in patients with acute and chronic spi‐nal cord lesions[J].Spinal Cord,2000,38(10):615-621.
[7]Media S,Christensen P,Lauge I,et al.Reproducibility and va‐lidity of radiographically determined gastrointestinal and seg‐mental colonic transit times in spinal cord-injured patients[J]Spinal Cord,2009,47(1):72-77.
[8]谢禹昌,钱学群,张根福.功能性结肠运输时间延长与便秘的相关性[J].影像诊断与介入放射学,2002,11(2):81-83.
[9]Kirshblum S C,Burns S P,Biering-Sorensen F,et al.Interna‐tional Standards for Neurological Classification of Spinal Cord Injury[J].Spinal Cord Med,2011,34(6):535-546.
[10]郑樱,周红俊,李建军,等.国际脊髓损伤肠功能扩展数据集[J].中国康复理论与实践,2010,16(2):194-198.
[11]Metcalf A M,Phillips S F,Zinsmeister A R,et al.Simplified assessment of segmental colonic transit[J].Gastroenterology,1987,92(1):40-47.
[12]曹静宜,周国昌,徐健民.脊髓损伤患者的结肠通过时间测定[J].中华消化杂志,1994,14(5):270-273.
[13]刘浩,白春宏.脊髓损伤病人肠道管理[J].创伤外科杂志,2014,16(1):79-81.
[14]张树成,王维林,白玉作,等.便秘患儿的胃肠传输时间测定及其意义[J].中华儿科杂志,2003,41(3):176-179.
[15]高峥嵘,荆彦平,骆宾,等.MRI排粪电影联合消化道传输试验对便秘诊断价值探讨[J].中国CT和MRI杂志,2017,15(2):105-108.
[16]Krogh K,Christensen P,Laurberg S.Colorectal symptoms in patients with neurological diseases[J].Acta Neurol Scand,2001,103(6):335-343.
[17]李建军,邱卓英.脊髓损伤者的排便障碍[J].中国康复理论与实践,1998,4(4):174-176.
[18]何梅,孙爱静,薛润芳.盆底肌电刺激对脊髓损伤患者便秘的疗效察[J].中国康复理论与实践,2013,19(6):565-567.
[19]逯晓蕾,李建军,杜良杰,等.脊髓损伤后肠道功能的变化[J].中国康复理论与实践,2010,16(8):758-760.
[20]吴娟,李建军,王兰,等.脊髓损伤与肠道功能障碍[J].中国康复医学杂志,2002,17(6):370-372.
[21]Salvioli B,Bazzocchi G,Barbara G,et al.Rectosigmoid compliance and visceral perception in spinal cord injury pa‐tients[J].Eur J Gastroenterol Hepatol,2012,24(3):340-345.