改良肛注法预防开塞露致骨科老年患者大便失禁的效果  

Effect of modified anal injection on preventing fecal incontinence led by glycerol enema in elderly orthopedic patients

作　　者：淦细红[1] 陈和珍[1] 金文姬[1] 夏玉秀[1] 朱菁菁[1] 曹瑾茹 李群[1] 张真子[1] 

机构地区：[1]温州医科大学附属第二医院骨科D10病区,325000

出　　处：《中华现代护理杂志》2016年第2期274-276,共3页Chinese Journal of Modern Nursing

基　　金：温州医科大学附属第二医院院内新技术新项目

摘　　要：目的 观察开塞露改良肛注法在预防骨科老年便秘患者因使用开塞露致大便失禁的效果以及解除便秘的效果.方法 选择骨科老年住院便秘患者78例,按随机数字表法分为两组,试验组38例按改良方法肛门注入开塞露,对照组40例按传统方法使用开塞露纳肛,比较两组患者的大便失禁及有效解除便秘情况.结果 对照组中10例发生大便失禁,试验组中无一例发生大便失禁,两组比较差异有统计学意义（P〈0.01）;使用开塞露后对照组14例无效,试验组5例无效,两组比较差异有统计学意义（P〈0.05）,试验组的效果优于对照组.结论 运用改良肛注法能有效预防骨科老年患者因使用开塞露所致的大便失禁,并能更有效解决便秘问题.Objective To explore the effect of modified anal injection on preventing fecal incontinence caused by glycerol enema and reliving constipation in elderly orthopedic patients. Methods A total of 78 aged patients with constipation was selected and divided into experimental group （38 cases, modified anal injection enema method） and control group （40 cases, traditional enema anus method） according to the random numbertable method. And then, we compared the situation of fecal incontinence and relieving constipation. Results In the control group, there were 10 patients with fecal incontinence, while there was no case of fecal incontinence in the experimental group, it was statistically significant between them （P〈0. 01）. After using the enema, there were 14 ineffective cases in the control group and 5 ineffective cases in the experimental group, and the differences were statistically significant between the two groups （P 〈0. 05）. The effect in the experimental group was better than that in the control group. Conclusions Modified anal injection enema can prevent fecal incontinence caused by enema and relieve constipation in elderly orthopedic patients.

关 键 词：医院 骨科 老年人 开塞露 大便失禁 改良肛注法 

分 类 号：R472[医药卫生—护理学]