目的观察排便训练方法改善老年脑卒中恢复期出口梗阻型便秘(OOC)患者的疗效。方法老年脑卒中恢复期OOC患者63例,按入选时间随机分为观察组(32例)和对照组(31例)。两组患者均接受脑卒中后常规治疗及护理,观察组另行排便训练(包括运动训练、放松训练、生物反馈训练及物理方法训练)。比较两组治疗前后“便秘症状及疗效评估问卷”各项指标评分。结果两组患者治疗前问卷各问题评分及症状总分比较差异无统计学意义(P>0.05)。对照组排便频度评分治疗前后比较差异具有统计学意义[(1.52±0.31)分VS(1.09±0.23)分,P<0.01],其他指标治疗前后比较差异无统计学意义(P>0.05)。观察组治疗后各问题评分及症状总分均明显优于治疗前及对照组治疗后,差异均具有统计学意义(P<0.05)。结论排便训练方法可以显著缓解老年脑卒中恢复期OOC患者的便秘症状,可在临床中普及推广。 Objective To observe the effect of defecation training on improving obstructive constipation (OOC) in elderly patients with stroke recovery. Methods Sixty three OOC patients with convalescent stroke were divided randomly into observation group (n = 32) and control group (n = 31) according to the time of admission. Both groups received conventional treatment and nursing after stroke. The observation group was given another defecation training (including exercise training, relaxation training, biofeedback training and physical training). The two groups before and after treatment “constipation symptoms and curative effect evaluation questionnaire ” each index score. Results There was no significant difference in scores and symptom scores between the two groups before treatment (P> 0.05). The difference of the frequency of defecation in the control group before and after treatment was statistically significant (1.52 ± 0.31 vs 1.09 ± 0.23, P <0.01). There was no significant difference in the other indexes before and after treatment (P> 0.05). After treatment, the scores of the questions and symptoms in the observation group were significantly better than those before the treatment and in the control group after treatment, the differences were statistically significant (P <0.05). Conclusion The defecation training method can significantly relieve the symptoms of constipation in elderly patients with OOC during stroke recovery and can be popularized and popularized in clinic.