在脊髓损伤的急性阶段进行肠道管理
概括
本综述强调了急性脊髓损伤肠道管理的有限证据. 目前的实践重点是建立每日计划,手动清除便,并为灵活的肠道模式进行个性化调整.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 康复医学 康复医学 康复医学
背景情况:
- 神经性肠道和膀在脊髓损伤 (SCI) 后很常见.
- 在急性SCI中,脊柱冲击会损害胃肠道的运动性和反射,危及并发症.
- 现有的肠道管理指南主要针对慢性阶段.
研究的目的:
- 在SCI的急性阶段确定肠道管理的基于证据的建议.
- 审查关于管理SCI后肠道功能障碍的当前文献.
主要方法:
- 在CINAHL,PubMed,Cochrane图书馆和ProQuest进行系统的文献搜索.
- 分析现有证据,包括专家共识和慢性期研究.
主要成果:
- 具体来说,对于急性SCI肠道管理的证据有限.
- 急性SCI涉及由于脊柱冲击而导致的性肠道模式.
- 管理包括日常计划,手动排便,调整药物,液体,纤维和活动.
结论:
- 对急性SCI肠道管理的研究有很大的需求.
- 个性化和经常重新评估的肠道计划至关重要.
- 开发急性SCI肠道护理的最佳实践需要进一步的研究.
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