不同插管深度对药物灌肠治疗放射性直肠炎效果的影响  

The influence of insertion depth on treatment effectiveness of retention enema in patients with radiation proctitis

作　　者：石晓婷[1] 尚菊战[1] 钱英净 

机构地区：[1]西安交通大学第一附属医院放疗科,西安市710061

出　　处：《中华护理杂志》2014年第3期309-311,共3页Chinese Journal of Nursing

基　　金：西安交通大学第一附属医院院基金资助项目

摘　　要：目的探讨对放射性直肠炎进行药物灌肠治疗时，不同插管深度和药物保留体位对治疗效果的影响。方法将2009年5月至2013年4月收治的72例出血性放射性直肠炎患者分为实验组和对照组。实验组（n=34）采用缩短插管深度、半俯卧位与半坐卧位交替保留药液的方法灌肠：对照组（n=38）采用常规方法灌肠（插入导尿管16～20cm）。灌肠后药物均保留2—6h。结果实验组治疗有效率为91．18％，治疗有效的31例患者症状消退时间为（9．06±3．31）d。对照组治疗有效率为81．58％。治疗有效的31例患者症状消退时间为（10．71±2．90）d。两组治疗有效率、治疗有效患者症状消退时间的差异均有统计学意义（P〈0.05）。结论对于放射性直肠炎药物灌肠治疗，在患者情况允许时，可以缩短插管长度灌入药液，采取半俯卧位与半坐卧位交替体位保留药液，使药液长时间停留在病变部位，更好地发挥疗效。Objective To compare the treatment effectiveness of different retention enema methods in patients with radiation proctitis, Methods Seventy-two patients with hemorrhagic radiation proetitis were divided into two groups. The enema insertion depth was 8 to 15 cm and alternating semi-prone position and semi-fowler＇s position was adopted while retention in the experimental group. The enema insertion depth was 16 to 20 cm and conven- tional position was adopted in the control group. The enema was remained over 2 hours. Results The effective rate in the experimental group was significantly higher than that in the control group（91.18% vs. 81.58%,P〈0,05）. Moreover,the recovery time in the experimental group was shorter than that in the control group[（10.71±2.90）days vs. （9.06±3.31）days,P〈0.05]. Conclusion For patients with radiation proetitis receiving retention enema, it is sug- gested to shorten the catheter insertion depth and take semi-prone position and semi-fowler＇s position alternately to improve the treatment effectiveness.

关 键 词：直肠炎 辐射损伤 灌肠 治疗效果 

分 类 号：R818.7[医药卫生—放射医学]