脊髓损伤患者不同便秘程度结肠通过时间比较

DOI:10.3969/j.issn.1006⁃9771.2019.01.011·临床研究·脊髓损伤患者不同便秘程度结肠通过时间比较

王一吉1,2,3，周红俊1,2，刘根林1,2，郑樱1,2，郝春霞1,2，张缨1,2，卫波1,2，康海琼1,2，逯晓蕾1,2，袁媛1,2，蒙倩茹1,2

1.中国康复研究中心北京博爱医院，北京市100068；

2.首都医科大学康复医学院，北京市100068；

3.日本藤田医科

大学，日本名古屋4701192

通讯作者：周红俊。E-mail：zh87569303@

基金项目：中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-7)

摘要

目的比较不同便秘程度脊髓损伤患者的结肠通过时间。

方法2015年6月至2017年9月，73例男性圆锥上脊髓损伤患者根据便秘程度分为轻度便秘组(n=25)和重度便秘组(n=48)，采用不透X线标记物追踪法测试全结肠、升结肠(包括结肠右曲)、横结肠、降结肠(包括结

肠左曲)及直肠乙状结肠的通过时间。

结果重度便秘组全结肠、横结肠及降结肠通过时间大于轻度便秘组(P<0.05)；两组均为直肠乙状结肠通过时间最长(P<0.05)。

结论男性脊髓损伤便秘患者不同节段结肠通过时间有差异，应针对目标结肠进行干预。

关键词脊髓损伤；便秘；结肠通过时间

Comparison of Colonic Transit Time for Spinal Cord Injury Patients with Different Severities of Constipation

WANG Yi-ji1,2,3,ZHOU Hong-jun1,2,LIU Gen-lin1,2,ZHENG Ying1,2,HAO Chun-xia1,2,ZHANG Ying1,2,WEI Bo1,2,

KANG Hai-qiong1,2,LU Xiao-lei1,2,YUAN Yuan1,2,MENG Qian-ru1,2

1.Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing100068,China;

2.Capital Medical University

School of Rehabilitation Medicine,Beijing100068,China;3.Fujita Medical University,Nagoya4701192,Japan

Correspondence to ZHOU Hong-jun.E-mail:zh87569303@

Supported by National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central

Governmental Level(No.2015CZ-7)

Abstract

Objective To analyze the colonic transit time in patients with different severities of constipation.

Methods From June,2015to September,2017,73male patients with supraconal spinal cord injury were grouped as mild constipation group(n=25)and severe constipation group(n=48).They were measured the transit time of

entire colorectum,ascending colon(including the right colic flexure),transverse colon,descending colon(includ‐

ing the left colic flexure)and rectosigmoid with Abrahamsson method.

Results The transit time of entire colorectum,transverse colon,descending colon increased in the severe constipation group compared with that of the mild constipation group(P<0.05).For each group,the transit time of rectosig‐

moid was the longest among colon segments(P<0.05).

Conclusion The colonic transit time of SCI male patients with various constipation is different in colon segments.Accu‐rate interventions are needed to target colon segments.

Key words:spinal cord injury;constipation;colonic transit time

[中图分类号]R651.2[文献标识码]A[文章编号]1006⁃9771(2019)01-0086-04

[本文著录格式]王一吉,周红俊,刘根林，等.脊髓损伤患者不同便秘程度结肠通过时间比较[J].中国康复理论与实践,2019,25(1):86-89.

作者简介：王一吉(1982-)，男，汉族，湖南衡阳市人，博士研究生，主治医师，主要研究方向：脊髓损伤康复。