腹部平片清洁灌肠方法的改进  

Modification of cleaning enema for patients receiving plain abdominal radiography

作　　者：黄坚[1] 陈明珍[1] 柯芸[1] 林杰[1] 

机构地区：[1]潮州市中心医院内科门诊,广东潮州521000

出　　处：《护理学杂志》2011年第17期49-51,共3页

摘　　要：目的探讨改良清洁灌肠方法用于腹部平片检查患者的临床效果,以提高清洁灌肠的效果。方法采用单盲法将140例疑为泌尿系结石需行腹部平片或静脉肾盂造影患者随机分成两组各70例。对照组采用传统清洁灌肠方法,观察组采用改良清洁灌肠方法,即采用右侧屈膝卧位,冲洗袋高度距肛门60～100 cm,置入肛管长度20～25 cm;评价灌肠效果、灌肠效率及患者主观感受与不良反应。结果与对照组比较,观察组X线显影清晰度显著提高,灌肠总次数减少(均P<0.01);在患者主观感受与不良反应方面,心慌气短、肛门坠胀感、灌肠液外溢、肠黏膜损伤出血发生率显著减少(P<0.05,P<0.01)。结论改良清洁灌肠方法可有效地提高肠道清洁质量,使患者更安全、舒适。Objective To study the clinical effects of modified cleaning enema for patients receiving plain abdominal radiography,and to improve effects of cleaning enema.Methods By means of randomized single blind comparison,a total of 140 patients who were suspected of urinary tract stone and about to receive plain abdominal radiography or intravenous pyelography,were equally divided into two groups.The control group received conventional cleaning enema,while the observation group were subjected to modified cleaning enema method： patients were in right side-lying position,the douche bag were 60-100 cm above the anus and the tube was advanced 20-25 cm from the anus.The effect and efficiency of enema,patients′ subjective feelings and adverse reaction were evaluated.Results Compared with the control group,the X ray image of the observation group shared significantly higher clarity,the times of enema were statically decreased（P0.01 for all）.In terms of patients′ subjective feelings and adverse reaction,the symptoms such as palpitation and panting,tenesmus,leakage of enema solution,intestinal mucosa bleeding were significantly decreased in the observation group（P0.05,P0.01）.Conclusion With more consideration to patients′ comfort,the modified cleaning enema can effectively improve enema quality.

关 键 词：腹部平片 静脉肾盂造影 清洁灌肠 护理 

分 类 号：R472.92[医药卫生—护理学]