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急性心肌梗塞、脑出血等疾病的急性期常需绝对卧床休息,而卧床患者常发生便秘。我们应用新型全胃肠动力药西沙比利治疗卧床所致便秘患者30例,取得较好疗效。现报告如下。 临床资料:30例均为需绝对卧床休息者,男20例,女10例;年龄18～70岁,平均50.1岁。其中急性心肌梗塞10例,脑出血10例,蛛网膜下腔出血3例,急性肾炎7例。均有排便<3次/W、排便困难、粪便坚硬或粪便量少等表现。过去无便秘史,排除肠道器质性疾病。 治疗方法与效果:服用西沙比利5mg,每日3次;效果不显著者,3天后改10mg,每日3次。疗程为4周。治疗期间停用一切导泻剂。每天记录大便次数、性状及腹痛情况。经上述治疗,本组有效(每周排便5～10次,便软,排便不费力)26例,无效(每周排便<3次,便硬,排便费力)4例,有效率为
Acute myocardial infarction, cerebral hemorrhage and other acute diseases often require absolute bed rest, and bedridden patients often constipation. We apply the new total gastrointestinal motility drug cisapride treatment of constipation in bed caused by 30 patients, and achieved good results. The report is as follows. Clinical data: 30 cases were required absolute bed rest, 20 males and 10 females; aged 18 to 70 years, mean 50.1 years old. Including 10 cases of acute myocardial infarction, cerebral hemorrhage in 10 cases, 3 cases of subarachnoid hemorrhage, acute nephritis in 7 cases. Have defecation <3 times / W, defecation difficulties, stool hard or stool less performance. No history of constipation in the past, excluding intestinal organic disease. Treatment methods and effects: taking cisapride 5mg, 3 times a day; the effect is not significant, 3 days after the change 10mg, 3 times a day. Treatment for 4 weeks. Disable all cathartic agents during treatment. Record stool frequency, traits and abdominal pain every day. After the above treatment, the group is effective (5 to 10 bowel movements per week, then soft, defecation effortless) in 26 cases, ineffective (bowel movements less than 3 times per week, then hard, defecation effort) in 4 cases, the effective rate was