Clinical outcome and efficacy of modified depth colonic irrigation in adults with neurogenic bowel dysfunction
10.3760/cma.j.issn.1674-2907.2018.36.015
- VernacularTitle:改良深度灌肠在神经源性肠道功能障碍患者中的应用效果
- Author:
Chunhua GUO
1
;
Min LEI
;
Wenru CHAI
;
Junqin DING
;
Yi CUI
Author Information
1. 河北医科大学第三医院创伤急救中心二病区
- Keywords:
Spinal cord injury;
Neurogenic bowel dysfunction;
Abdominal distension;
Modified-depth colonic irrigation
- From:
Chinese Journal of Modern Nursing
2018;24(36):4405-4407
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of modified colonic irrigation using a disposable catheter in patients with neurogenic bowel dysfunction.Methods A total of 76 patients with cervicothoracic spinal cord injury admitted to the Third Hospital of Hebei Medical University from January 1st, 2017 to March 31st, 2018 were divided into groups according to the admission ward by convenience sampling method. The patients in ward Ⅱ were assigned as the observation group (n=38), and the patients in wardⅠ were assigned as the control group (n=38). After complaining of abdominal distension, the patients in the observation group were injected with glycerin by inserting 50 ml disposable urethral syringe, and deep enema by inserting about 30 cm. The patients in the control group were given direct enema with glycerin 7 cm to 10 cm deep. The changes of abdominal circumference, abdominal pressure, bowel sounds before enema and after exhaust, and complications of intubation were compared between the two groups.Results The improvement of abdominal distension symptoms such as abdominal circumference, abdominal pressure and bowel sounds after exhaust in the observation group was better than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of complications of intubation between the two groups (P>0.05).Conclusions Modified-depth colonic irrigation using a disposable catheter is more effective than traditional glycerin enema administration in the treatment of neurogenic bowel dysfunction.
