便秘管理路径在脑卒中住院患者的应用

Constipation management way in apoplexy in hospital patient＇s application

便秘是指三天以上无大便或每周大便小于两次或每日大便量少于35g.国内临床观察发现,脑卒中患者并发便秘时,排便用力过度可以增高颅内压,诱发脑出血 同时腹胀及直肠充气使膈肌升高反射性影响心率及冠状动脉血管痉挛,加重患者脑部损害,从而降低患者的活动能力,影响疾病预后.因此,必须处理好脑卒中患者的便秘问题.国内外调查显示,卒中后便秘的发生率为30%～60%.本文对194例脑卒中便秘患者进行回顾性分析,并得出行之有效地脑卒中患者便秘管理路径,现报道如下.

The constipation is refers above three days not to have the bowel movement either each week bowel movement is smaller than two times or the daily bowel movement quantity is short in 35g. When domestic clinical observation discovery,apoplexy patient concurrent constipation, the bowel movement effort may advance excessively the eerebrospinal fluid pressure, induces cerebral hemorrhage; Simultaneously the distension of the abdomen and the rectum gasification causes the diaphragm to elevate the reflex influence heart rate and the coronary artery vasospasm,aggravates the patient brain harm, thus reduces patient＇s energy, affects disease prognosis. Therefore, must deal with the good apoplexy patient＇s constipation issue. The domestic and foreign investigations demonstrated that, after the apoplexy the constipation formation rate is 30 % -60 %. This article carries on the review analysis to 194 example apoplexy constipation patient, and obtains the effective both ends of a field apoplexy patient constipation management way, presently reports as follows.