改良小量不保留灌肠法在便秘患者中的应用  

Intraoperative nursing care in endovascular exclusion of aortic dissection by using overdrive suppression for decreasing blood pressure

作　　者：马美桂[1] 

机构地区：[1]黄石市中心医院干部病房湖北黄石,435000

出　　处：《护理学杂志》2011年第5期20-20,共1页

摘　　要：对便秘患者，传统的小量不保留灌肠所需用物繁多，操作复杂，用开塞露纳肛通便，因其插入深度有限（3～4cm），量少（10～20m1），只能润滑肛周粪块，深部硬结粪块仍不易排出，缓解便秘效果欠佳；口服缓泻剂，起效慢，剂量不易掌握，量小效果差，量大易引起患者腹痛腹泻，增加患者痛苦。鉴此，2008年开始我科采用改良的小量不保留灌肠治疗便秘患者。Eighty-four patients with aortic dissection received endovascular exclusion by using overdrive suppression for decreasing blood pressure.The success rate of the operation was 100%.There were several procedures of important significance in intraoperative care to ensure operation success： skillfully regulating temporary pacemaker before overdrive suppression,promptly and exactly cooperating with surgeons during overdrive suppression,monitoring heart rate and rhythm,and maintaining stable blood pressure and oxygen saturation throughout the operation.

关 键 词：小量不保留灌肠 便秘患者 保留灌肠法 改良 应用 保留灌肠治疗 开塞露纳肛 插入深度 

分 类 号：R472.9[医药卫生—护理学]