脊髓损伤后大便失禁的康复训练  

Rehabilitation of fecal incontinence in patients with spinal cord injury

作　　者：陈燕[1] 黄东锋[1] 岑展芬 

机构地区：[1]中山医科大学附属第一院康复医学科,广州510080

出　　处：《中国康复医学杂志》2000年第3期163-164,共2页Chinese Journal of Rehabilitation Medicine

摘　　要：目的 :探讨脊髓损伤大便失禁的康复方法 ,使大便失禁者能自控。方法 :(1)对患者说明大便训练的重要性 ,以取得患者的合作。 (2 )刺激肛门括约肌、直肠。 (3)盆底肌功能训练。 (4)卫生棉条塞肛。 (5 )定时排便训练。结果 :每天遗便多次的脊髓损伤患者用棉条塞肛 2～ 4天后 ,大便次数都减至每天 1～ 2次或 2～ 3天一次 ,有效率10 0 %。 14例患者 (70 % )经训练后有便意 ,2 0例患者中除 1例因经济问题提前出院 ,1例效果欠佳外 ,都能定时排便 ,基本能自行控制 ,有效率 90 %。结论 :定时刺激、收缩肛门括约肌、直肠、盆底肌 ,训练定时排便对脊髓损伤后排便功能的恢复有促进作用。Objective:A search for the ways of rehabilitation of patients with fecal incontinence after spinal cord injury,and enhancing their defecationability.Method:Inform the patients of the importance of the training,stimulate the anal sphincter and rectum,functional train of the pelvic muscles,and plug the anus with tampons.Defecation was trained at regular intervals.Result:After tamponment,the number of fecal discharges decreases obviously for patients who used to discharge involuntarily quite a number of times each day.70% of the patients have gained back much control over defecation after training, 90% of the patients can defecate at regular intervals and basically controled their defecation.Conclusion:The constriction of the anal sphincter, rectum and pelvic muscles at regular intervals, and training in defecation at regular time can speed up the rehabilitation of defecation ability.

关 键 词：脊髓损伤 大便失禁 康复 并发症 

分 类 号：R651.2[医药卫生—外科学]