ICU患者改良式开塞露灌肠方法与通腑合剂灌肠的对比研究  

A Comparative study of ICU patient'enema with modified enema glycerini and with tongfu mixture

作　　者：李成[1] 彭丽清[1] LI Cheng;PENG Liqing(First Hospital of Wuhan,Wuhan 430022,Chin)

机构地区：[1]武汉市第一医院,湖北武汉430022

出　　处：《临床医药实践》2018年第6期464-465,共2页Proceeding of Clinical Medicine

摘　　要：目的:改良常规开塞露纳肛通便方式。使用改良式开塞露方法予以灌肠,并与通腑合剂灌肠方法对比,探讨适合重症加强护理病房(ICU)特殊患者的灌肠方式。方法:选取近5个月54例3 d未解大便遵医嘱予以灌肠者,按治疗次序分为对照组和观察组,每组27例。对照组将通腑合剂200 m L加入开塞露40 m L混匀,使用专用一次灌肠袋灌肠。观察组通过改良式开塞露方式,用无菌注射器抽吸开塞露液体100 m L,连接一次性吸痰管(B型12号)予以灌肠。对两组患者灌肠后的效果及患者肛周、腹部疼痛评分进行比较。结果:观察组灌肠后排便效果明显优于对照组,其重症监护疼痛观察工具法评分低于对照组,差异均有统计学意义(P<0.05)。结论:改良式开塞露灌肠方式药物利用率高,疗效好,操作方便且药物价格低廉,经济实用。Objective： By changing the conventional enema into anus bowel,using improved enema glycerini method to contrast enema,Tongfu mixture enema,enema on ICU special patients. Methods： In recent 5 months,54 patients who had been given enema for 3 days in accordance with the doctor’s advice. According to the treatment order were divided into two groups,27 patients in each group,according to the random number table（ICU）. The control group were treated with Tongfu mixture200 ml joined enema glycerini 40 m L mix,using a special enema bag. The experimental group was modified by enema glycerinito enema glycerini 100 m L aseptic syringe suction liquid,connecting the disposable suction tube 12 f（B） to enema,enema were compared between two groups after the effect of perianal and abdominal pain in patients with score. Results： The retention time and defecation effect of the experimental group after enema were significantly higher than thatof the control group,and the score of severe pain monitoring instrument（CPOT） was lower thanthat of the control group,the difference was statistically significant（P 〈 0. 05）. Conclusion： The modified enema glycerini enemain high medicine utilization rate,good curative effect,convenient operation and low price of drugs,economical and practical,worthy of promotion.

关 键 词：改良式 开塞露 通腑合剂 灌肠 

分 类 号：R473.6[医药卫生—护理学]