Kinnunen O, Jauhonen P, Salokannel J, Kivelä S L
University of Oulu, Department of Public Health Science.
Z Gerontol. 1989 Nov-Dec;22(6):321-3.
A retrospective screening of one year's duration was carried out on 245 permanently hospitalized geriatric patients to study the frequency and cases of periods of at least three days' diarrhea. Such periods were suffered by 65/245 patients and 32% had recurrencies. Fecal impaction was the most common cause of diarrhea (in 55%). Diarrhea was induced by laxatives in 20%. Gastrointestinal infections caused 5% of the diarrhea cases. Immobility and fecal incontinence were strongly associated with fecal impaction in cases of diarrhea. Urinary tract infections treated with antibiotics in the patients with fecal impaction and diarrhea almost were twice as frequent as in patients with other causes of diarrhea or patients with no diarrhea. This retrospective investigation emphasizes the importance of the recognition and proper treatment of constipation, especially in bedridden or chairbound elderly persons with fecal incontinence and diarrhea.
对245名长期住院的老年患者进行了为期一年的回顾性筛查，以研究至少持续三天腹泻的频率和病例。245名患者中有65名经历过此类腹泻，其中32%出现复发。粪嵌塞是腹泻最常见的原因（占55%）。20%的腹泻由泻药引起。胃肠道感染导致5%的腹泻病例。在腹泻病例中，活动不便和大便失禁与粪嵌塞密切相关。与其他腹泻原因或无腹泻的患者相比，患有粪嵌塞和腹泻的患者使用抗生素治疗尿路感染的频率几乎是其两倍。这项回顾性调查强调了认识和正确治疗便秘的重要性，尤其是对于卧床或久坐、伴有大便失禁和腹泻的老年人。
