Research progress in mechanism, diagnosis and treatment of neurogenic bowel dysfunction after spinal cord injury
10.3760/cma.j.issn.1001-8050.2019.07.007
- VernacularTitle:脊髓损伤后神经源性肠道功能障碍发生机制及诊疗研究进展
- Author:
Chengjie WU
1
;
Yong MA
;
Yang GUO
;
Suyang ZHENG
;
Yalan PAN
;
Pengcheng TU
;
Guihua XU
Author Information
1. 南京中医药大学骨伤研究所 210023
- Keywords:
Spinal cord injuries;
Neurogenic bowel;
Quality of life
- From:
Chinese Journal of Trauma
2019;35(7):618-624
- CountryChina
- Language:Chinese
-
Abstract:
Neurogenic bowel dysfunction (NBD) manifested as constipation and fecal incontinence often occurs after spinal cord injury (SCI).NBD affects patients' quality of life and is an urgent clinical problem to be solved.The mechanism of NBD is related to central and autonomic nervous system dysfunction,intestinal nervous system dysfunction,changes in intestinal microorganism composition and abnormal content of neurotransmitters.The evaluation method of NBD is mainly based on scoring and imaging,which lacks unified criteria,and the treatment method for NBD is the combination of traditional Chinese and Western medicine.The author summarizes the mechanism,evaluation method,treatment and nursing of NBD in order to provide new insight into these aspects to improve clinical efficacy.