脊柱骨折致胃肠功能失调199例分析

Analysis of gastrointestinal dysfunction caused by spinal fracture in 199 patients

:目的 探讨不同节段脊柱骨折与胃肠功能失调的关系。方法 对 199例脊柱骨折进行骨折节段、胃肠功能变化、脊髓有无损伤等分类统计 ,对数据行统计学处理。结果 腹胀和便秘在颈、胸、腰、骶椎骨折中均出现 ,而 16例腹泻患者仅出现于有胸髓损伤的胸椎骨折中。结论 任何节段脊柱骨折都可导致腹胀、便秘 ;腹泻仅出现于有胸髓损伤的胸椎骨折 。

Objective: To inquire into the relation between spinal fracture of various segments and gastrointestinal dysfunction. Methods: The spinal fractures in 199 patients were classified on the basis of the segments of fracture, variation of gastrointestinal function and the injury of the spinal cord, and the statistics were analysed. Results: Abdominal distension and constipation occurred in all the patients with spinal fractures of cervical vertebra, thoracic vertebra,lumbar vertebra and sacralvertebra , though diarrhea occurred in 16 patients with only fracture in thoracic vertebra. Conclusion: Abdominal distension and constipation can occur in patients with any segment of spinal fracture. Diarrhea occurs only in patients with injured segments of thoracic vertebra, only in T 4～T 11 .