2013年5月26日星期日

Spinal cord injury care

Spinal cord injury care:
1, massage therapy, health care workers or family members every time give active or passive abdominal massage clockwise (methods: hands overlap, clockwise around the umbilicus push press abdomen, in accordance with the colon line direction, the ascending colon, transverse colon and descending colon and sigmoid colon do circular massage) stimulate peristalsis, and increase abdominal pressure, promote bowel movement. Using acupuncture therapy can help relieve constipation. Clinical practice has proved that acupuncture point massage to alleviate constipation has good effect, reduce the proportion of the use of laxatives. Point massage, the longer constipation symptoms improved more beautiful, more lasting effect. Also can guide the family members do for patients with abdominal hot compress, but attention should be paid to prevent burns, to promote intestinal peristalsis, promote bowel movement.
2, biological feedback therapy, biofeedback therapy is the use of electronic instruments accurate determination of nerve, muscle and normal and abnormal activity of the autonomic nervous system, and to enlarge the information selectively into visual and auditory signals, and then feedback to patients, to learn to oneself adjust psychosomatic condition, achieve the goal of the treatment and prevention of disease. To guide patients to identify abnormal and normal muscle electrical signals, and self training, biofeedback training, daily morning contraction after 10 minutes, the abdominal muscles contraction and anus bowel movement training for 10 minutes, then bowel movement). Some scholars in the application of biofeedback therapy for the patients of chronic functional constipation, good results have been achieved.
3, constipation treatment: (1) drug treatment: patients with severe constipation, and by the method above can't effectively remove, guiding patients prescribed laxative, reasonable use and inform patients with laxatives of adverse reactions. Academics in 100 cases of constipation patients taking oral lactulose solution and curative effect observation taking rhubarb soda method, using oral lactulose solution treating constipation curative effect better than the rhubarb soda, diarrhea and has no side effects, safe and effective, and restore the circadian rhythm of the colon, is worth promoting. (2) enema: for rectum has scleroma sample block, enema, enema commonly used solution is 0.1% or 0.2% soapy water, glycerin, etc. Stubborn sex constipation available using 1, 2, 3 irrigation (30 ml of 50% magnesium sulfate, glycerin 60 ml, 90 ml warm water enema, can promote bowel movements. But can't long time enema, otherwise can cause digestive function disorder. Some scholars enema demand of 60 cases of constipation patients using pediatric sputum suction tube connection of disposable infusion enema and disposable anal enema method effect observation, using pediatric sputum suction tube connection of disposable infusion enema method, the effect is better than disposable anal enema method, pediatric sputum suction tube using a disposable anal canal irrigation in intestinal relatively longer retention time, increase the softening effect of feces, reduced intestinal juice outflow situation, improve the success rate of bowel movement, is a ideal clysis method.

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