脊髓损伤急性期肠道功能障碍干预方案的应用

Effects of intervention program for intestinal dysfunction in acute spinal cord injury

目的探讨脊髓损伤肠道功能障碍干预方案在脊髓损伤急性期应用的效果。方法便利抽样选取2019年3-12月上海市第六人民医院、上海长征医院收治的脊髓损伤急性期肠道功能障碍患者76例,采用非同期对照设计,将2019年3-5月的42例患者设为对照组,2019年10-12月的34例患者设为干预组。对照组采用常规护理干预措施,干预组采用脊髓损伤肠道功能障碍干预方案。干预2周后,比较两组患者肠道功能指标。结果干预2周后,干预组患者的腹胀和便秘改善程度优于对照组,差异有统计学意义(P<0.05)。结论脊髓损伤急性期肠道功能干预方案能够有效改善患者的肠道功能,降低腹胀和便秘发生率。

Objective To explore the effects of the intervention program for intestinal dysfunction after spinal cord injury during the acute spinal cord injury period.Methods Totally 76 patients with intestinal dysfunction during acute spinal cord injury who were admitted into Shanghai Sixth People's Hospital and Shanghai Changzheng Hospital between March and December 2019 were selected by convenient sampling.According to the non-concomitant controlled study design,42 patients admitted from March to May 2019 were included into the control group,while 34 patients admitted from October to December 2019 were included into the intervention group.Patients in the control group received routine care,while the intervention program for intestinal dysfunction after spinal cord injury was adopted for patients in the intervention group.After 2 weeks of intervention,the intestinal function indicators were compared between the two groups.Results After 2 weeks of intervention,the improvement of abdominal distension and constipation of the intervention group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The intervention program for intestinal dysfunction during acute spinal cord injury can effectively improve the intestinal function of patients and reduce the incidence of abdominal distension and constipation.