脊髓损伤患者不同便秘程度结肠通过时间比较

doi:10.3969/j.issn.1006-9771.2019.01.011

Abstract

Abstract: 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.

Key words: spinal cord injury, constipation, colonic transit time

CLC Number:

R651.2

WANG Yi-ji, ZHOU Hong-jun, LIU Gen-lin, ZHENG Ying, HAO Chun-xia, ZHANG Ying, WEI Bo, KANG Hai-qiong, LU Xiao-lei, YUAN Yuan, MENG Qian-ru. Comparison of Colonic Transit Time for Spinal Cord Injury Patients with Different Severities of Constipation[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 86-89.

References

[1] White W B, Johnson M F, Anders R J, et al.Safety of controlled-onset extended-release revapamil in middle-aged and older patients with hypertension and coronary artery disease[J]. Am Heart J, 2001, 142(6): 1010-1015.
[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 segmental colonic transit times in patients with acute and chronic spinal cord lesions[J]. Spinal Cord, 2000, 38(10): 615-621.
[7] Media S, Christensen P, Lauge I, et al.Reproducibility and validity of radiographically determined gastrointestinal and segmental 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.International 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 patients[J]. Eur J Gastroenterol Hepatol, 2012, 24(3): 340-345.

Comparison of Colonic Transit Time for Spinal Cord Injury Patients with Different Severities of Constipation

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