Preliminary Study on the Clinical Application of the Physical Constipation Relief Instrument (PCRI) in Elderly Orthopedic Patients

doi:10.3877/cma.j.issn.2096-0263.2024.02.001

Abstract

Abstract:

Objective

To introduce a physical stool evacuator for the treatment of constipation and to preliminarily evaluate its clinical efficacy.

Methods

A prospective study was conducted from February 2023 to October 2023 at the Third Hospital of Hebei Medical University among 46 elderly patients (> 60 years old) with constipation during orthopedic hospitalization. Among them, there were 21 males (45.7%) and 25 females (54.3%), with a mean age of 71.4 ± 8.7 years. Subgroup analysis was performed based on patient characteristics and the nature of constipation to assess the success rate of the physical stool evacuator in different patient groups.

Results

The overall success rate of the physical stool evacuator was 91.3% (42/46). For patients with constipation occurring preoperatively, postoperatively, and habitually, the success rates were 100.0% (8/8), 94.4% (17/18), and 85.0% (17/20), respectively. Compared to patients without outlet obstruction-type constipation, the success rate of the physical stool evacuator was higher in patients with outlet obstruction-type constipation at 100.0% (24/24).

Conclusion

The physical bowel stimulator has shown good clinical efficacy in alleviating constipation among elderly patients hospitalized for fractures, demonstrating universality across different elderly fracture patient groups.

Key words: Digestive System Diseases, Constipation, Constipation Treatment, Physical Constipation Relief Instrument(PCRI)

Yonglong Li, Jinglue Hu, Zhenbang Yang, Tianyu Wang, Xinqun Cheng, Dongwei Wu, Chengsi Li, Jiahao Yu, Haichuan Guo, Yanbin Zhu, Yingze Zhang. Preliminary Study on the Clinical Application of the Physical Constipation Relief Instrument (PCRI) in Elderly Orthopedic Patients[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(02): 65-69.

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References 16

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	成功（人）	成功率	P值
总数	42/46	91.3%
性别			0.732
男	20/21	95.2%
女	22/25	88.0%
年龄（岁）			1.000
60～80	35/39	89.7%
>80	7/7	100.0%
平时大便频率			1.000
<3天/次	31/34	91.2%
≥3天/次	11/12	91.7%
便秘发生时期			0.504
术前	8/8	100.0%
术后	17/18	94.4%
习惯性	17/20	85.0%
肌间血栓			1.000
无	39/43	90.7%
有	3/3	100.0%
冠状动脉粥样硬化性心脏病			1.000
无	40/44	90.9%
有	2/2	100.0%
腹部触诊			1.000
正常	36/40	90.0%
有包块	6/6	100.0%
通便前是否使用甘油			0.539
是	19/22	86.4%
否	23/24	95.8%
未解大便时间（天）			1.000
≤3	18/20	90.0%
4～7	21/23	91.3%
8～14	3/3	100.0%
出口阻塞型			0.096
否	18/22	81.8%
是	24/24	100.0%
使用时间（分钟）			0.159
<1.5	18/18	100.0%
1.5～3	21/25	84.0%
>3	3/3	100.0%
使用次数（次）			0.639
1	31/35	88.6%
2	9/9	100.0%
3	2/2	100.0%

	成功（人）	成功率	P值
总数	42/46	91.3%
性别			0.732
男	20/21	95.2%
女	22/25	88.0%
年龄（岁）			1.000
60～80	35/39	89.7%
>80	7/7	100.0%
平时大便频率			1.000
<3天/次	31/34	91.2%
≥3天/次	11/12	91.7%
便秘发生时期			0.504
术前	8/8	100.0%
术后	17/18	94.4%
习惯性	17/20	85.0%
肌间血栓			1.000
无	39/43	90.7%
有	3/3	100.0%
冠状动脉粥样硬化性心脏病			1.000
无	40/44	90.9%
有	2/2	100.0%
腹部触诊			1.000
正常	36/40	90.0%
有包块	6/6	100.0%
通便前是否使用甘油			0.539
是	19/22	86.4%
否	23/24	95.8%
未解大便时间（天）			1.000
≤3	18/20	90.0%
4～7	21/23	91.3%
8～14	3/3	100.0%
出口阻塞型			0.096
否	18/22	81.8%
是	24/24	100.0%
使用时间（分钟）			0.159
<1.5	18/18	100.0%
1.5～3	21/25	84.0%
>3	3/3	100.0%
使用次数（次）			0.639
1	31/35	88.6%
2	9/9	100.0%
3	2/2	100.0%

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