Gala Tanzeela, Fernandes Abigail, Saini Mehak, Sarzo Carlotta, Shahzad Noman, Igbedioh Carlene, Ferdinand Sarah, Schizas Alexis, Ferrari Linda, Hainsworth Alison J
Senior Clinical Fellow, Pelvic Floor Unit, Guy's and St Thomas' NHS Foundation Trust, London.
Clinical Fellow, Pelvic Floor Unit, Guy's and St Thomas' NHS Foundation Trust, London.
Br J Nurs. 2025 Jun 19;34(12):626-634. doi: 10.12968/bjon.2025.0040.
Rectal irrigation is recommended in patients with evacuation disorders (EDs) that are resistant to preliminary conservative treatments.
This study aimed to determine the incidence and predictors of rectal irrigation.
This study included patients treated for EDs from a prospectively maintained database.
Out of 1618 patients with ED, irrigation was started in 594, of whom 399 (67%) were started on low-volume rectal irrigation (LVRI) and the remaining 195 (33%) on high-volume rectal irrigation (HVRI). LVRI was associated with patients aged >50 years and anal incontinence, while HVRI was associated with constipation and patients aged <50 years (<0.001). The study also found that patients in the LVRI group were more likely to complete treatment than those in the HVRI group. No variability was found between gender, socio-economic status, ethnicity and the study findings when a comparison was made between patients who continued preliminary conservative treatments and those who started on irrigation.
This study provides predictors of rectal irrigation. Future research is needed to explore the outcome and barriers to irrigation.
对于初步保守治疗无效的排便障碍（ED）患者，建议采用直肠灌洗。
本研究旨在确定直肠灌洗的发生率及预测因素。
本研究纳入了来自前瞻性维护数据库中接受ED治疗的患者。
在1618例ED患者中，594例开始进行灌洗，其中399例（67%）开始进行小容量直肠灌洗（LVRI），其余195例（33%）开始进行大容量直肠灌洗（HVRI）。LVRI与年龄>50岁及肛门失禁的患者相关，而HVRI与便秘及年龄<50岁的患者相关（<0.001）。研究还发现，LVRI组患者比HVRI组患者更有可能完成治疗。在继续进行初步保守治疗的患者与开始进行灌洗的患者之间进行比较时，未发现性别、社会经济地位、种族与研究结果之间存在差异。
本研究提供了直肠灌洗的预测因素。未来需要开展研究以探索灌洗的效果及障碍。
