脊髓损伤后神经源性肠道功能障碍评估方法的研究进展

doi:10.3969/j.issn.1006-9771.2018.04.005

Abstract

Abstract: Neurogenic bowel dysfunction is one of the most common complications of spinal cord injury. It can cause abdominal distension, constipation, fecal incontinence, difficult defecation, prolonged defecation and other symptoms. At present, neurogenic bowel dysfunction is mainly evaluated through general condition, physical examination, experimental examination, professional scales and intestinal microbiota, etc.

Key words: spinal cord injury, neurogenic bowel dysfunction, evaluation, intestinal microbiota, review

CLC Number:

R651.2

ZHANG Wen-hao, YANG De-gang, LI Jian-jun, YANG Ming-liang, DU Liang-jie, GAO Feng, LIU Chang-bin, XU Pei-pei, GUO Yun, ZHANG Jie, QIN Chuan, ZHANG Chao. Progress in Evaluation of Neurogenic Bowel Dysfunction after Spinal Cord Injury (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(4): 401-404.

References

[1] Jain NB, Ayers GD, Peterson EN, et al.Traumatic spinal cord injury in the United States, 1993-2012[J]. JAMA, 2015, 313(22): 2236-2243.
[2] Wang H, Liu X, Zhao Y, et al.Incidence and pattern of traumatic spinal fractures and associated spinal cord injury resulting from motor vehicle collisions in China over 11 years: An observational study[J]. Medicine (Baltimore), 2016, 95(43): e5220.
[3] Yang R, Guo L, Huang L, et al.Epidemiological characteristics of traumatic spinal cord injury in Guangdong, China[J]. Spine (Phila Pa 1976), 2017, 42(9): E555-E561.
[4] Hsieh CH, DeJong G, Groah S, et al. Comparing rehabilitation services and outcomes between older and younger people with spinal cord injury[J]. Arch Phys Med Rehabil, 2013, 94(4 Suppl): S175-S186.
[5] DeVivo MJ, Chen Y. Trends in new injuries, prevalent cases, and aging with spinal cord injury[J]. Arch Phys Med Rehabil, 2011, 92(3): 332-338.
[6] Spinal cord injury facts and figures at a glance[J]. J Spinal Cord Med, 2012, 35(6): 480-481.
[7] Bhalala OG, Srikanth M, Kessler JA.The emerging roles of microRNAs in CNS injuries[J]. Nat Rev Neurol, 2013, 9(6): 328-339.
[8] Lee BB, Cripps RA, Fitzharris M, et al.The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate[J]. Spinal Cord, 2014, 52(2): 110-116.
[9] Mitchell RJ, Bambach MR.Personal injury recovery cost of pedestrian-vehicle collisions in New South Wales, Australia[J]. Traffic Inj Prev, 2016, 17(5): 508-514.
[10] 张文豪,李建军,杨德刚,等. MicroRNA在脊髓损伤中的研究进展[J]. 中国康复理论与实践, 2017, 23(6): 649-653.
[11] Liu CW, Huang CC, Chen CH, et al.Prediction of severe neurogenic bowel dysfunction in persons with spinal cord injury[J]. Spinal Cord, 2010, 48(7): 554-559.
[12] Faaborg PM, Finnerup NB, Christensen P, et al.Abdominal pain: a comparison between neurogenic bowel dysfunction and chronic idiopathic constipation[J]. Gastroenterol Res Pract, 2013, 2013: 365037.
[13] Faaborg PM, Christensen P, Rosenkilde M, et al.Do gastrointestinal transit times and colonic dimensions change with time since spinal cord injury?[J]. Spinal Cord, 2011, 49(4): 549-553.
[14] Zanca JM, Dijkers MP, Hammond FM, et al.Pain and its impact on inpatient rehabilitation for acute traumatic spinal cord injury: analysis of observational data collected in the SCIRehab study[J]. Arch Phys Med Rehabil, 2013, 94(4 Suppl): S137-S144.
[15] Whiteneck GG, Gassaway J.SCIRehab uses practice based evidence methodology to associate patient and treatment characteristics with outcomes[J]. Arch Phys Med Rehabil, 2013, 94(4 Suppl): S67-S74.
[16] Engkasan JP, Sudin SS.Neurogenic bowel management after spinal cord injury: Malaysian experience[J]. J Rehabil Med, 2013, 45(2): 141-144.
[17] Fynne L, Worsøe J, Gregersen T, et al.Gastric and small intestinal dysfunction in spinal cord injury patients[J]. Acta Neurol Scand, 2012, 125(2): 123-128.
[18] 朱黎婷,朱毅,张文毅,等. 中医药在脊髓损伤神经源性肠道功能障碍的研究进展[J]. 世界华人消化杂志, 2012, 2012(35): 3549-3557.
[19] 谭菊香,荣丽. 肠道功能训练改善脊髓损伤后便秘的效果研究[J]. 护理研究, 2014, 28(1): 64-65.
[20] Hammell KR.Spinal cord injury rehabilitation research: patient priorities, current deficiencies and potential directions[J]. Disabil Rehabil, 2010, 32(14): 1209-1218.
[21] Adriaansen JJ, van Asbeck FW, van Kuppevelt D, et al. Outcomes of neurogenic bowel management in individuals living with a spinal cord injury for at least 10 years[J]. Arch Phys Med Rehabil, 2015, 96(5):905-912.
[22] 刘秋玲,陈晖. 电针治疗脊髓损伤后肠道功能障碍临床研究概况[J]. 中国伤残医学, 2017, 25(2): 98-100.
[23] 朱黎婷,朱毅. 脊髓损伤神经源性肠道功能障碍的诊断、评价和康复治疗现况[J]. 中国康复医学杂志, 2013, 28(12): 1163-1167.
[24] 李晓芬,袁瑞好. 肠道功能训练在脊髓不完全性损伤引起的大便失禁中的应用及疗效分析[J]. 国际医药卫生导报, 2012, 18(24): 3583-3584.
[25] Thomas GP, Norton C, Nicholls RJ, et al.A pilot study of transcutaneous sacral nerve stimulation for faecal incontinence[J]. Colorectal Dis, 2013, 15(11): 1406-1409.
[26] Worsøe J, Rasmussen M, Christensen P, et al.Neurostimulation for neurogenic bowel dysfunction[J]. Gastroenterol Res Pract, 2013, 2013: 563294.
[27] 王玉明,冯雨桐,杨华东. 脊髓损伤后神经源性肠道功能管理的研究进展[J]. 中国康复理论与实践, 2016, 22(3): 286-289.
[28] 袁丽娜. 脊髓损伤患者便秘的护理[J]. 河北联合大学学报(医学版), 2012, 14(6): 870-871.
[29] 林丽芳. 不完全性脊髓损伤患者肠道功能评估与重建[J]. 当代护士旬刊, 2014(6): 50-52.
[30] 程乔,李武平. 脊髓损伤病人神经源性肠道功能紊乱研究进展[J]. 护理研究, 2017, 31(30): 3779-3783.
[31] Kim GW, Won YH, Ko MH, et al.Ultrasonic measurement of rectal diameter and area in neurogenic bowel with spinal cord injury[J]. J Spinal Cord Med, 2016, 39(3): 301-306.
[32] Hayman AV, Guihan M, Fisher MJ, et al.Colonoscopy is high yield in spinal cord injury[J]. J Spinal Cord Med, 2013, 36(5): 436-442.
[33] 李雪萍,陈安亮,周俊,等. 完全性脊髓损伤后肠道功能障碍患者盆底肌表面肌电特征的研究[J]. 中华物理医学与康复杂志, 2008, 30(12): 816-818.
[34] 金佳然,朱玉连. 表面肌电图在脑卒中康复中的应用与研究进展[J]. 中国康复, 2016, 31(3): 197-200.
[35] 丛芳,李建军,周红俊,等. 脊髓损伤患者盆底表面肌电与肠功能的相关性研究[J]. 中国康复理论与实践, 2012, 18(6): 558-561.
[36] 桑海燕,庞灵,张春苗,等. 脊髓损伤后神经源性直肠的康复护理新进展[J]. 中华现代护理杂志, 2014, 15(24): 3288-3290.
[37] 郑樱,周红俊,李建军,等. 国际脊髓损伤肠功能基础数据集[J]. 中国康复理论与实践, 2010, 16(3): 208-211.
[38] 张洁,杨德刚,李建军,等. 国际脊髓损伤肠道功能基础数据集最新修订及解读[J]. 中国康复理论与实践, 2017, 23(10): 1236-1239.
[39] 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.
[40] Della Pietra GL, SaVio K, Oddone E, et al. Validity and reliability of the Bathel index administered by telephone[J]. Stroke, 2011, 42(7): 2077-2079.
[41] 李轲. 25例脊髓损伤患者的肠道功能训练分析[J]. 中国现代医生, 2015, 53(17): 85-87.
[42] Sinagoga KL, Wells JM.Generating human intestinal tissues from pluripotent stem cells to study development and disease[J]. EMBO J, 2015, 34(9): 1149-1163.
[43] Saffrey MJ.Aging of the mammalian gastrointestinal tract: a complex organ system[J]. Age (Dordr), 2014, 36(3): 1019-1032.
[44] Lin L, Zhang J.Role of intestinal microbiota and metabolites on gut homeostasis and human diseases[J]. BMC Immunol, 2017, 18(1): 2.
[45] 齐诗蕊,孙刚. 肠道菌群对中枢神经系统的影响及机制[J]. 中华保健医学杂志, 2017, 19(1): 84-86.
[46] 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.
[47] Bai C, An H, Wang S, et al.Treatment and prevention of bacterial translocation and endotoxemia with stimulation of the sacral nerve root in a rabbit model of spinal cord injury[J]. Spine (Phila Pa 1976), 2011, 36(5): 363-371.
[48] Sigurdsen E, Tørhaug T.Spinal cord injury and bowel function[J]. Tidsskr Nor Laeqeforen, 2012, 132(9): 1107-1110.
[49] Kigerl KA, Hall JC, Wang L.Gut dysbiosis impairs recovery after spinal cord injury[J]. J Exp Med, 2016, 213(12): 2603-2620.
[50] Gungor B, Adiguzel E, Gursel I, et al.Intestinal microbiota in patients with spinal cord injury[J]. PLoS One, 2016, 11(1): e0145878.
[51] 龙志华,高飞,张锋良,等. 大鼠脊髓损伤后P物质与神经源性肠道功能障碍的关系[J]. 中国康复理论与实践, 2014, 20(8): 718-722.
[52] Kim JY, Koh ES, Leigh J, et al.Management of bowel dysfunction in the community after spinal cord injury: a postal survey in the Republic of Korea[J]. Spinal Cord, 2012, 50(4): 303-308.

Progress in Evaluation of Neurogenic Bowel Dysfunction after Spinal Cord Injury (review)

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