Effect of percutaneous pulsedmagnetic stimulation of the sacral nerve for the treatment of paraplegic patients with constipation
10.3760/j.issn.1674-2907.2014.17.022
- VernacularTitle:经皮脉冲磁刺激骶髓神经治疗截瘫患者便秘的效果
- Author:
Jian ZHAO
1
;
Shijun JIANG
;
Yiwei SUN
;
Yueying ZHOU
Author Information
1. 518020 暨南大学医学院附属二院 深圳市人民医院脊柱外科
- Keywords:
Constipation;
Paraplegia;
Percutaneous pulsed magnetic stimulation
- From:
Chinese Journal of Modern Nursing
2014;20(17):2085-2087
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of percutaneous pulsedmagnetic stimulation of the preganglionic parasympathetic nervous system of spinal at T 12-L1 vertebral level (2-4 sacral spinal cord), in order to promote gastrointestinal peristalsis paraplegics and relieve symptoms of constipation .Methods Totals of 52 patients were divided into two groups by their admission date .The control group were applied the routine nursing care, including the psychology nursing care , drug intervention, diet, water balance, lower abdominal massage therapy, enema, pelvic floor muscle training and hyperbaric oxygen therapy .Based on the routine care, the intervention group was given the early percutaneous spinal cord pulsed magnetic stimulation of the preganglionic parasympathetic nerves of the spine at T 12 -L1 vertebral level ( 2 -4 sacral spinal cord ) . Results In the intervention group , 1 patient had cervical fracture and dislocation;2 patients had tumor invasion of the primary caudaequina of spinal cord.88.46%(23/26) patients had regular bowel movements.In the control group, only 61.54% (16/26) patients had regular bowel movements.The difference was statistically significant (χ2 =5.026,P<0.05).The effective rate of the intervention group was 76.9%(20/26), which was significantly higher than 50.0% (13/26) in the control group (χ2 =4.046,P<0.05).Conclusions Percutaneous pulsed magnetic stimulation of the parasympathetic preganglionic nerve can improve the recovery of neurological function and provide a simple , noninvasive and painless method to reduce the constipation and improve patients ’ quality of life.
