脊髓损伤患者不同便秘程度结肠通过时间比较

摘要

Objective To analyze the colonic transit time in patients with different severities of constipation.Methods From June, 2015 to September, 2017, 73 male patients with supraconal spinal cord injury were grouped as mild constipation group (n = 25) and severe constipation group (n = 48). They were measured the transit time of entire colorectum, ascending colon (including the right colic flexure), transverse colon, descending colon (including the left colic flexure) and rectosigmoid with Abrahamsson method.Results The transit time of entire colorectum, transverse colon, descending colon increased in the severe constipation group compared with that of the mild constipation group (P ＜ 0.05). For each group, the transit time of rectosigmoid was the longest among colon segments (P ＜ 0.05).Conclusion The colonic transit time of SCI male patients with various constipation is different in colon segments. Accurate interventions are needed to target colon segments.%目的 比较不同便秘程度脊髓损伤患者的结肠通过时间.方法 2015年6月至2017年9月,73例男性圆锥上脊髓损伤患者根据便秘程度分为轻度便秘组(n=25)和重度便秘组(n=48),采用不透X线标记物追踪法测试全结肠、升结肠(包括结肠右曲)、横结肠、降结肠(包括结肠左曲)及直肠乙状结肠的通过时间.结果 重度便秘组全结肠、横结肠及降结肠通过时间大于轻度便秘组(P＜0.05);两组均为直肠乙状结肠通过时间最长(P＜0.05).结论 男性脊髓损伤便秘患者不同节段结肠通过时间有差异,应针对目标结肠进行干预.