《中国康复理论与实践》

《中国康复理论与实践》

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脊髓损伤后神经源性肠道功能管理的研究进展①

王玉明1,2，冯雨桐2，杨华东1,2   

  1. 1.中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科，北京市100068；2.首都医科大学康复医学院，北京市100068。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Management for Neurogenic Bowel after Spinal Cord Injury (review)

WANG Yu-ming1,2, FENG Yu-tong2, YANG Hua-dong1,2   

  1. 1. Department of Spinal and Neural Functional Reconstruction, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 脊髓损伤后神经源性肠道是一系列胃肠器官失神经支配后的综合征，长期严重便秘和失禁影响患者的生活质量。多维度的肠道排空计划，包括搭配饮食、药物治疗、充足的液体摄入量，以及物理刺激、灌肠等，能改善肠道功能。当严重便秘持续存在且常规方法无法缓解时，可考虑选择手术治疗。

关键词: 脊髓损伤, 神经源性肠道, 管理, 综述

Abstract: Neurogenic bowel is a syndrome that resulted from the denervation after spinal cord injury (SCI), and may influence the quality of life of SCI patients for the constipation and incontinence. It might be benefit of multidimensional bowel management including nutrition, medicine and liquid, as well as stimulation, clyster etc. Surgery could be considered if necessary.

Key words: spinal cord injury, neurogenic bowel, management, review