手指直肠刺激技术对不完全脊髓损伤患者肠道管理的效果

Effect of Digital Rectal Stimulation on the Intestinal Management of Patients with Incomplete Spinal Cord Injury

目的探讨手指直肠刺激技术(digital rectal stimulation,DRS)在不完全脊髓损伤(spinal cord injury,SCI)患者肠道管理中的效果。方法 2015年1-10月,便利抽样法选取在汕头市中心医院骨科治疗的SCI患者112例为研究对象,按随机数字表法将其分为观察组和对照组,每组56例。对照组患者采用常规护理方式,即心理治疗、饮食调护、腹部按摩、传统通便等,而观察组患者在采用常规护理方式的基础上加用DRS,干预期为4周。比较两组患者干预前和干预4个月后排便控制情况。结果干预前,两组患者排便控制情况的差异无统计学意义(P>0.05)。经过4周护理,两组患者的排便控制情况有了很大程度的改善,与护理前相比,差异有统计学意义(均P<0.05)。干预4周后,观察组患者排便控制情况优于对照组,差异有统计学意义(P<0.05)。结论 DRS在SCI患者肠道管理中疗效明显,值得推广应用。

Objective To investigate the effects of digital rectal stimulation （DRS） on the intestinal management of patients with spinal cord injury （SCI）.Methods By convenience sampling, 112 cases were selected and randomly divided into observation group and control group, with 56 cases in each group.The control group received routine nursing method, which included psychological treatment, diet nursing, abdominal massage and routine defaecation,while the observation group received routine nursing method and DRS.The interventions were lasted for four weeks.The defecation conditions in two groups before and after intervention were compared.Results Before intervention, no statistical significance of defecation condition was found between two groups （P 〉0.05）.After 4 weeks of nursing, the condition was improved, and the difference was statistically significant （all P 〈 0.05）, and the defecation conditions in observation group were better than which in control group （P〈0.05）.Conclusions DRS in the treatment of patients with incomplete spinal cord injury have obvious curative effect,and it is worth popularizing.