| Objective: To observe the effect of intestinal comprehensive physical therapy on constipation in patients with incomplete spinal cord injury by comparing three methods. Methods: A total of 30 patients with incomplete spinal cord injury who were eligible for inclusion were randomly divided into three groups: A, B and C. On the basis of routine intervention, group A received biofeedback electric stimulation, group B received intestinal exercise therapy, and group C received intestinal comprehensive physical therapy (biofeedback electric stimulation combined with intestinal exercise therapy). The treatment was given once a day, five days a week for four weeks. Before and after treatment, we compared the neurogenic intestinal dysfunction (NBD) score scale, Wexner constipation score scale, PAC-QOL scale, PAC-SYM scale, the dosage of lactulose and glycerine enema, the anorectal manometry and other indicators, and analyzed and evaluated the efficacy. Results: After treatment, the scores of various scales, the dosage of lactulose and glycerine enema in the three groups were significantly reduced (P<0.01), the anal systolic pressure was significantly increased (P<0.01), and the rectal volume perception threshold was significantly reduced (P<0.05) as compared with those before treatment. There was no statistically significant difference in the anal resting pressure before and after treatment (P>0.05). After treatment, the scores of various scales, the dosage of lactulose and glycerine enema in group C were significantly lower than those in group A and group B (P<0.05). There was no significant difference between group A and group B (P>0.05). There was no significant difference among the three groups in the indicators of rectal manometry (P>0.05). Conclusion: The three methods can improve the constipation symptoms of patients with incomplete spinal cord injury. Intestinal comprehensive physical therapy is more effective than biofeedback electrical stimulation and intestinal exercise therapy alone in improving constipation after incomplete spinal cord injury. |
