完全性截瘫与完全性四肢瘫患者肠道功能障碍发生率的比较

Comparing the incidence of gastrointestinal dysfunction between patients with quadriplegia and paraplegia

目的:比较研究完全性四肢瘫,完全性截瘫患者肠道功能障碍发生率。方法:将95例脊柱创伤后完全性脊髓损伤患者按照损伤节段分为两组:即完全性四肢瘫组(共63例男38例,女25例)和完全性截瘫组(共32例男18例,女14例)。采用面对面问卷调查方式对95例完全性四肢瘫,截瘫患者进行有关肠道功能的问卷调查。结果:问卷调查应答率100%。完全性四肢瘫与完全性截瘫患者在胃肠道肠症状的发生率、排便频率及耗时、大便性状等方面差异明显,且有统计学意义(P<0.001)。结论:完全性截瘫患者的肠道功能障碍的发生率更高。

Objective： To compare the incidence of gastrointestinal dysfunction between patients with complete quadriplegia and paraplegia.Methods： 95 patients with complete spinal cord injury were divided into quadriplegia group and paraplegia group.A questionnaire survey was performed to evaluate the incidence of abnormal bowel function of the patients.The incidence of gastrointestinal dysfunction was assessed and compared between the 2 groups.Results： Significant difference existed between the 2 groups as regard to the bowel symptoms,stool frequency and time-consuming,the success rate of defecation,and property of stool.Conclusions： The incidence of gastrointestinal dysfunction is significantly higher in patients with quadriplegia than in patients with paraplegia.