Faleiros-Castro Fabiana Santana, de Paula Elenice Dias Ribeiro
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão PretoSP, Brasil,
Rev Esc Enferm USP. 2013 Aug;47(4):836-42. doi: 10.1590/S0080-623420130000400010.
Constipation affects 74% of individuals with cerebral palsy. This study aimed to evaluate the results of nursing interventions for treating intestinal constipation associated with cerebral palsy. This quantitative, prospective, comparative study included 50 patients with quadriplegic cerebral palsy and constipation. The main conservative measures included daily consumption of laxative foods and vegetable oils, increase in fluid intake, and daily intestinal massage. Total or partial constipation relief was observed in 90% of the patients, with improvement in quality-of-life aspects such as sleep, appetite, and irritability, and a significant decrease in rectal bleeding, anal fissure, voluntary retention of stools, crying, and pain on defecation. Only 10% of the patients required laxative medications. It is recommended that conservative measures be used for treating cerebral palsy-related constipation and medications be used solely as adjuvants, if needed.
便秘影响74%的脑瘫患者。本研究旨在评估护理干预治疗与脑瘫相关的肠道便秘的效果。这项定量、前瞻性、对照研究纳入了50例四肢瘫型脑瘫且伴有便秘的患者。主要的保守措施包括每日食用通便食物和植物油、增加液体摄入量以及每日进行肠道按摩。90%的患者便秘得到完全或部分缓解，睡眠、食欲和易怒等生活质量方面有所改善，直肠出血、肛裂、故意憋便、哭闹和排便疼痛显著减少。仅10%的患者需要使用泻药。建议采用保守措施治疗与脑瘫相关的便秘，如有需要，药物仅作为辅助手段使用。
