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.

Objective:To explore the effects of respiratory resistance training combined with active cycle of breathing techniques in nursing care for patients with lower cervical spinal cord injury.Methods:From April 2017 to March 2019, we selected 78 patients with lower cervical spinal cord injury in Trauma Emergency Center of the Third Affiliated Hospital of Hebei Medical University as subjects. All patients were divided into observation group and control group with the method of random number table, 39 cases in each group. Control group carried out the respiratory system nursing with the self-developed compound sequential technology on sputum exclusion. On the basis of that in control group, observation group implemented the resistance inspiratory training and expiratory training with the respiratory resistance training combined with active cycle of breathing techniques. We compared the volume of sputum excretion, pulmonary function[forced vital capacity (FVC) , forced expiratory volume in one second (FEV1) , peak expiratory flow (PEF) and maximal expiratory pressure (MEP) ] and incidences of pulmonary complications during hospitalization between two groups.Results:A total of four weeks after training, the volume of sputum excretion of observation group on the fifth day after surgery was lower than that of control group with a statistical difference ( P<0.05) . There were four pulmonary function indexes (FVC、FEV1、PEF、MEP) in observation group better than those in control group with statistical differences ( P<0.05) . The incidence of pulmonary complications of observation group was lower than that of control group with a statistical difference ( P<0.05) . Conclusions:Respiratory resistance training combined with active cycle of breathing techniques can promote the early excretion of sputum of patients with lower cervical spinal cord injury, improve the pulmonary function and reduce the incidence of pulmonary complications.