李建军，吴娟，廖利民.完全性脊髓损伤患者大便控制能力的研究[J].中华物理医学与康复杂志,2003,(6):。-
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| 完全性脊髓损伤患者大便控制能力的研究 |
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| DOI： |
| 中文关键词: 脊髓损伤 神经源性肠道功能障碍 肛门直肠功能障碍 肛门直肠动力检测 |
| 英文关键词: Spinal cord injury Neurogenic bowel dysfunction Anorectal and sphincter dysfunction Anorectal manometry |
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| 中文摘要: |
| 目的研究颈、胸段完全性脊髓损伤患者大便控制能力的变化，为康复治疗提供客观依据。 方法利用肛门直肠动力检测技术，对比研究30例颈、胸段完全性脊髓损伤患者和性别年龄相近的30位健康人肛门直肠动力学参数的变化，了解脊髓损伤后大便控制能力的改变。 结果①静息时：实验组肛管平均静息压、肛管-直肠压力梯度降低，与对照组相比无显著性差异（P>0.05）。②主动收缩肛门时：实验组与对照组比较，平均肛管主动收缩压低，收缩时间缩短，两组比较有显著性差异（P<0.01），实验组收缩前后肛管压比较无显著性差异（P>0.05）。③咳嗽时：实验组肛管反射性压力增加幅度小于对照组（P<0.01）。 结论完全性脊髓损伤患者在静息和腹压突然增加时，肛门有一定控制大便的能力，自主收缩肛门控制大便的能力丧失。 |
| 英文摘要: |
| Objective To investigate the changes of the ability of stool control in patients with complete cervical and thoracic spinal cord injury. MethodsThirty hospitalized complete spinal cord injury volunteers (experiment group) and 30 healthy volunteers (control group) were examined with anorectal manometry. The changes of the manometric characteristics of anorectal and sphincter function were recorded when the subjects were resting, squeezing anus and coughing. Results(1) The resting anal pressures and the rectum-anus pressure gradient slightly decreased in experiment group, which were not significantly different from those in the control group (P>0.05). (2) The average squeezing anal pressure and the duration of anal squeezing decreased in the experiment group, which were significantly different from those in the control group (P<0.05). (3) The increase of amplitude of reflective anal pressure induced by cough in the experiment group was significantly lower than that in the control group (P<0.01). ConclusionThe anus had some ability to control stool in rest and when the intra-abdominal pressure was abruptly increased, but the ability of controlling stool by voluntarily squeezing anus was impaired. |
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