Goyal Vinay, Paracka Davis J, Gaur Ravi, Shukla Aradhana
Physical Medicine and Rehabilitation, All India Institute of Physical Medicine and Rehabilitation, Mumbai, IND.
Stroke Medicine, Bedford Hospital, Bedfordshire Hospitals NHS Foundation Trust, Bedford, GBR.
Cureus. 2022 Jun 13;14(6):e25893. doi: 10.7759/cureus.25893. eCollection 2022 Jun.
Introduction Spinal cord injury (SCI) impairs colorectal movement, transit time, and complete evacuation at defecation. Incontinence has been documented to affect quality of life across the globe in different proportions. Bowel management has been recognized as a key factor in SCI patients' participation in the society and leading a satisfactory life. Limited information on bowel management in SCI patients drove us to study the demographic profile and bowel management in a group of chronic SCI patients at a tertiary care rehabilitation center. Methods A total of 42 adults (age: 18-60 years) with SCI and duration > 12 months were enrolled. Patients were evaluated with a semi-structured questionnaire containing both open and closed questions. Data were collected and analyzed using Statistical Package for Social Sciences (SPSS) Version 10. Results Most (52.4%) of the patients were manual laborers (85.7% males). Mean age was 37.6 ± 11 years. The injury level was predominantly thoracic level (69%). Only eight (19%) patients had fecal incontinence; 21(50%) patients used suppository and only six patients were using laxatives. Impacted stool was the most common complication followed by hemorrhoids. Conclusion Young paraplegics is the most common age group affected by SCI. Most of the patients managed their bowel well conservatively with good adherence to bowel rehabilitation program. The study findings emphasize on patient-centric bowel management in SCI patients to reduce the impact on quality of life and minimize complications.
引言 脊髓损伤（SCI）会损害结肠运动、传输时间以及排便时的完全排空。据记载，失禁在全球不同程度地影响着生活质量。肠道管理已被视为脊髓损伤患者融入社会并过上满意生活的关键因素。关于脊髓损伤患者肠道管理的信息有限，这促使我们对一家三级护理康复中心的一组慢性脊髓损伤患者的人口统计学特征和肠道管理情况进行研究。
方法 共纳入42名年龄在18至60岁之间、脊髓损伤持续时间超过12个月的成年人。患者通过一份包含开放式和封闭式问题的半结构化问卷进行评估。使用社会科学统计软件包（SPSS）10版收集和分析数据。
结果 大多数（52.4%）患者为体力劳动者（男性占85.7%）。平均年龄为37.6±11岁。损伤水平主要为胸段（69%）。只有8名（19%）患者有大便失禁；21名（50%）患者使用栓剂，只有6名患者使用泻药。粪块嵌塞是最常见的并发症，其次是痔疮。
结论 年轻截瘫患者是受脊髓损伤影响最常见的年龄组。大多数患者通过严格遵守肠道康复计划，以保守方式很好地管理了肠道。研究结果强调以患者为中心的脊髓损伤患者肠道管理，以减少对生活质量的影响并将并发症降至最低。
