Study On Gastrointestinal Sounds In Patients With Neurological Diseases

Objective: To adopt the Binary Channel Gastrointestinal Sounds Monitoring System todetect the gastrointestinal sounds of stomach and ileocecus in patients with spinal cordlesions, and observe the change of GIS in stomach and ileocecus for coma patients withbrain lesions in fasting and post cibum, in order to provide a reference to monitorgastrointestinal movement and provide the care for the patients with different arealesions neurological diseases.Methods:1.52patients with spinal cord lesions and28healthy volunteers were enrolled in thisstudy. We used the Binary GIS Monitoring System to collecte GIS of stomach andileocecus in the state of fasting, then analyzed and compared the characteristics of theGIS between2groups. And analyzed the correlation of Wexner Constipation RatingScale score and GIS in stomach and ileocecus for17patients with consitipation.2. To use the Binary GIS Monitoring System to monitor the changes of GIS of stomachand ileocecus for22coma patients with brain lesions in fasting and post cibum.Results:1. There was a significant correlation between the stomach and ileocecus in the numberof GIS wave, percentage of time, average time, and average power in patients withspinal cord lesions(P <0.05). The number of GIS wave, percentage of time, average time,maximum time, average frequency, minimum frequency, average power, and maximunpower of GIS in stomach and ileocecus in patients with spinal cord lesions were lowerthan those in healthy volunteers(P <0.05). 2. There was a significant negatively correlation between Wexner Constipation RatingScale score and GIS for17patients with constipation(P <0.05).3. The average frequency, average power of GIS in stomach and ileocecus in comapatients with brain lesions were lower than those in healthy volunteers(P <0.05). Therewas a significant correlation between the stomach and ileocecus in the number of GISwave, percentage of time in patients with brain lesions (P <0.05).4. Post cibum, the number of GIS wave, percentage of time, average frequency, averagepower increased significantly compare to those of fasting in stomach and ileocecus forpatients with brain lesions.5. The average time of GIS in stomach and ileocecus in patients with spinal cord lesionswere lower than those with brain lesion (P <0.05). And The average power of GIS instomach and ileocecus in patients with spinal cord lesions were higher than those withbrain lesion (P <0.05)Conclusion:1. There was a significant correlation between the stomach and ileocecus GIS in patientswith brain and spinal cord lesions, and the gastrointestinal motility was significantlylower than in healthy people.2. The higher Wexner constipation score, the more severe their constipation and thelower gastrointestinal motility.3. Eating can improve the speed, rhythm and strength of gastrointestinal movement inpatients with brain lesions..4. There were differences in GIS of stomach and ileocecus between patients with brainlesions and patients with spinal cord lesions.5. Binary Chinnel GIS Monitoring System can better reflect the gastronintestinalmotility in patients with neurological diseases, providing a considerable reference toolfor clinic nurses to observe the gastrointestinal motility and detect the changes inpatients with neurological diseases. Meanwhile nurses should pay more attention to thepatients with spinal cord lesions, in order to take effective interventions to improve thequality of life of patients.