脊髓损伤后大便失禁的康复训练

目的：探讨脊髓损伤大便失禁的康复方法，使大便失禁者能自控。方法：⑴对患者说明大便训练的重要性，以取得患者的合作。⑵刺激肛门括约肌、直肠。⑶盆底肌功能训练。⑷卫生棉条塞肛。⑸定时排便训练。结果：每天遗便多次的脊髓损伤患者用棉条塞肛２～４天后，大便次数都减至１～２次或２～３天一次，有效率１００％。１４例患者（７０％）经训练后有便意，２０例患者中除１例因经济问题提前出院，１例效果欠佳，都能定时排便，基本

Rehabilitation of fecal incontinence in patients with spinal cord injury

Objective:A search for the ways of rehabilitation of patients with fecal incontinence after spinal cord injury,and enhancing their defecationability.Method:Inform the patients of the importance of the training,stimulate the anal sphincter and rectum,functional train of the pelvic muscles,and plug the anus with tampons.Defecation was trained at regular intervals.Result:After tamponment,the number of fecal discharges decreases obviously for patients who used to discharge involuntarily quite a number of times each day.70% of the patients have gained back much control over defecation after training, 90% of the patients can defecate at regular intervals and basically controled their defecation.Conclusion:The constriction of the anal sphincter, rectum and pelvic muscles at regular intervals, and training in defecation at regular time can speed up the rehabilitation of defecation ability.