盆底肌电刺激对脊髓损伤患者便秘的疗效观察

Effects of Pelvic Floor Electrical Stimulation on Constipation in Patients with Spinal Cord Injury

目的探讨盆底肌电刺激(PES)对脊髓损伤患者便秘的疗效。方法 40例脊髓损伤并有便秘症状的患者随机分为常规护理组和PES组,各20例。常规护理组采用健康教育、心理护理、饮食护理、按摩等护理措施;PES组在此基础上辅以PES。治疗前后分别对两组患者进行便秘症状及疗效评估评分。结果治疗8周后,常规护理组便秘评分与治疗前比较无显著性差异(P>0.05),PES组便秘评分显著低于治疗前(P<0.001),且明显低于常规护理组(P<0.01)。结论盆底肌电刺激有助于改善脊髓损伤患者便秘症状。

Objective To explore the effects of pelvic floor electrical stimulation （PES） on constipation in patients with spinal cord injury （SCI）. Methods 40 patients with SCI were randomly divided into conventional group and PES group with 20 patients in each group. The conventional group was treated with health education, psychological care, diet care and massage. The PES group was treated with PES in ad- dition. They were assessed with symptoms of constipation and efficacy assessment score. Results The symptoms of constipation and efficacy assessment score decreased significantly in the PES group （P〈0.001）, but not in the conventional group （P〉0.05）. And the score was lower in the PES group than in the conventional group （P〈0.01）. Conclusion PES can help eliminate constipation in patients with SCI.