神经性肠道功能障碍症状对脊髓损伤后生活质量的影响
Fater A Khadour1,2,3, Younes A Khadour2,3,4, Jiang Xu1
1Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jie-Fang Avenue, Qiaokou District, Wuhan, 430030, Hubei, China.
在脊髓损伤 (SCI) 幸存者的神经性肠功能障碍 (NBD) 的管理显著影响生活质量. 解决长时间排便和自主反射障碍症状可以改善SCI患者的生活.
科学领域:
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
- 生活质量研究 研究 生命质量研究
背景情况:
- 神经性肠道功能障碍 (NBD) 是脊髓损伤 (SCI) 后的一个普遍并发症.
- 有效的NBD管理对于SCI幸存者的日常功能和福祉至关重要.
- 关于NBD管理策略及其对SCI人口生活质量 (QoL) 的影响的研究有限.
研究的目的:
- 调查中国SCI患者使用的肠道管理计划.
- 确定NBD与SCI患者的生活质量 (QoL) 之间的关联.
主要方法:
- 进行了一项跨部门在线调查.
- 参与者包括被诊断为NBD的SCI患者,接受定期医疗监测.
- 收集的数据包括NBD严重程度得分,SF-12 QoL得分以及人口统计/医疗信息.
主要成果:
- 观察到QOL得分与诸如延长排便时间,自主反射障碍 (AD) 症状,用于便失禁的药物使用,数字刺激,浮失禁和围皮肤问题等因素之间存在显著的相关性.
- 常见的肠道管理实践包括每天排便,排便时间为31-60分钟,治疗便秘的药物和定期的数字刺激.
- 很大一部分受访者使用药物治疗便秘和数字刺激来排便.
结论:
- 在SCI中肠道功能障碍的管理是复杂的,并直接影响QoL.
- 显著恶化QOL的特定NBD因素包括排便时间超过60分钟,AD症状,以及使用药和数字刺激等特定干预措施.
- 针对性干预专注于NBD的这些问题方面,有可能提高SCI幸存者的生活质量.
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