中药保留灌肠治疗慢性盆腔炎文献分析  

Literature Analysis on Retention Enema with Chinese Medicine in the Treatment of Chronic Pelvic Inflammation

作　　者：李亚萍[1] 崔文 刘金星[3] 张加英[1] 刘银银 周可栋 顾云铃 李晓萌 LI Yaping;CUI Wen;LIU Jinxing;ZHANG Jiaying;LIU Yinyin;ZHOU Kedong;GU Yunling;LI Xiaomeng(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Jinan Nursing Vocational College,Jinan 250102,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]济南护理职业学院,山东济南250102 [3]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医药大学学报》2021年第3期368-371,399,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省高等学校科研发展计划项目(批文号:鲁教科字〔2018〕2号)。

摘　　要：目的:对中药保留灌肠治疗慢性盆腔炎相关临床研究进行分析,为临床规范操作提供参考。方法:检索中国期刊全文数据库(CNKI)、万方数据库、维普中文生物医学期刊(CMJD)数据库中有关中药保留灌肠治疗慢性盆腔炎的文献(优选时间节点为2014年1月1日至2019年10月1日)。对灌肠体位、灌肠液温度、肛管插入深度、灌肠药液的量、灌肠液保留时间、灌肠器具的改良等指标进行统计分析;同时探讨子午流注理论在灌肠操作中的应用。结果:肛管插入深度25~30 cm、灌肠器具为改良一次性输液型灌肠器的研究较为多见;灌肠液温度40℃、灌肠液保留6 h以上、灌肠量为100 mL应作为具体操作规范;左侧卧位、臀部抬高仍被临床广泛应用,但是子午流注理论在灌肠操作中的应用研究极少。结论:传统的中药灌肠操作基本可以满足临床需求,今后应进行子午流注理论融入灌肠操作的研究,以增强中药保留灌肠治疗慢性盆腔炎的效果。Objective:To analyze the related clinical studies of retention enema with Chinese medicine in the treatment of chronic pelvic inflammatory disease,so as to provide reference for clinical practice.Methods:China National Knowledge Infrastructure(CNKI),Wanfang database,VIP Chinese Biomedical Journal(CMJD)database related to retention enema with Chinese medicine in the treatment of chronic pelvic inflammatory disease(the preferred time node is from January 1st,2014 to October 1st,2019)were searched.The enema position,the temperature of the enema solution,the insertion depth of the anal canal,the amount of the enema solution,the retention time of the enema solution,and the improvement of the enema appliance were statistically analyzed.At the same time,the application of midnight-noon ebb-flow theory in the enema operation was discussed. Results:The insertion depth of anal canal is 25~30 cm,and the modified disposable infusion enema is more common. The temperature of the enema is 40 ℃,the enema is retained for more than 6 h,and the amount of the enema is 100 mL,which should be taken as a concrete specification. Left lateral decubitus position and hip elevation are still widely used in clinic. However,there are few studies on the application of midnight-noon ebb-flow in enema. Conclusions:The traditional enema operation with Chinese medicine can basically meet the clinical needs. In the future,it is necessary to conduct research on the integration of midnight-noon ebb-flow theory into the enema operation in order to enhance the effect of retention enema with Chinese medicine in the treatment of chronic pelvic inflammatory disease.

关 键 词：中药 保留灌肠 慢性盆腔炎 灌肠液 文献分析 子午流注 

分 类 号：R244.9[医药卫生—针灸推拿学] R271.19[医药卫生—中医临床基础]