肌源性大便失禁患者的康复与护理

目的 探讨肌源性大便失禁患者的护理方法与要点.方法 65例患者均为肌源性大便失禁病例,全部患者实行肛门括约肌重建手术,术后进行整体护理配合生物反馈康复训练.结果 治疗护理前尿布疹32例,肛周溃疡12例,泌尿系感染7例,术后切口感染16例.经过治疗护理后全部病例尿布疹消失,泌尿系感染均得到控制,肛周溃疡愈合,切口感染15例治愈,1例行肠造瘘后痊愈.随访6个月～2年,治疗护理前后患者的肛门临床评分分别为(1.72±0.22),(4.01±0.36)分,治疗护理后临床评分明显高于治疗前.结论 针对性选择灌肠方法,实施整体护理配合系统康复训练对肌源性大便失禁康复具有重要意义.

Research in rehabilitation and nursing care of myogenic fecal incontinence

Objective To explore the methods and key points of nursing care for myogenic fecal incontinence.Methods There were 65 patients with myogenic fecal incontinence in this study.All these patients had undergone sphincter reconstruction surgery.Holistic nursing and biofeedback training were provided for all these patients after surgery.Results The complications in these patients included diaper rash of 32 cases,perianal ulcer 12 cases,urinary infection 7 cases,postoperative wound infection 16 cases.After treatment and holistic care,all the diaper rash disappeared and all the peroanal ulcer healed.The urinary infection for those 7 patients were controlled.Fifteen postoperative wound infection were cured,and one recovered after intestinal fistula.Six months to two years follow-up revealed that the clinical score after treatment was significantly higher than that before treatment (1.72±0.22 vs 4.01±0.36).Conclusions Enema,holistic nursing care and rehabilitation training are important for rehabilitation of myogenic fecal incontinence.