物理通便器在老年骨科患者中临床应用的初步研究

Preliminary Study on the Clinical Application of the Physical Constipation Relief Instrument(PCRI)in Elderly Orthopedic Patients

目的介绍一种用于治疗便秘的物理通便器并初步评估其临床疗效。方法前瞻性研究2023年2月至2023年10月在河北医科大学第三医院骨科住院期间发生便秘并接受物理通便器治疗的46例老年患者(>60岁),男性21例(45.7%),女性25例(54.3%),平均年龄71.4±8.7岁。根据患者特征和便秘性质进行亚组分析,以评估物理通便器在不同患者群体中的通便成功率。结果物理通便器的总成功率为91.3%(42/46)。对于便秘发生于术前、术后和习惯性便秘患者,通便成功率分别为100.0%(8/8)、94.4%(17/18)和85.0%(17/20)。相较于非出口梗阻型便秘患者,物理通便器在出口梗阻型便秘患者中成功率更高100.0%(24/24)。结论物理通便器对老年骨折患者住院期间发生的便秘有较好的临床疗效,在不同老年骨折患者群体中具有普适性。

Objective To introduce a physical stool evacuator for the treatment of constipation and to preliminarily evaluate its clinical efficacy.Methods A prospective study was conducted from February 2023 to October 2023 at the Third Hospital of Hebei Medical University among 46 elderly patients(>60 years old)with constipation during orthopedic hospitalization.Among them,there were 21 males(45.7%)and 25 females(54.3%),with a mean age of 71.4±8.7 years.Subgroup analysis was performed based on patient characteristics and the nature of constipation to assess the success rate of the physical stool evacuator in different patient groups.Results The overall success rate of the physical stool evacuator was 91.3%(42/46).For patients with constipation occurring preoperatively,postoperatively,and habitually,the success rates were 100.0%(8/8),94.4%(17/18),and 85.0%(17/20),respectively.Compared to patients without outlet obstruction-type constipation,the success rate of the physical stool evacuator was higher in patients with outlet obstruction-type constipation at 100.0%(24/24).Conclusion The physical bowel stimulator has shown good clinical efficacy in alleviating constipation among elderly patients hospitalized for fractures,demonstrating universality across different elderly fracture patient groups.