分段开塞露纳肛联合体位管理在脑出血便秘病人中的疗效观察  

Application effects of segmental administration of celuna anal combined with position management in patients with cerebral hemorrhage complicated with constipation

作　　者：韩彩红[1] 方业香 HAN Cai-hong;FANG Ye-xiang(Department of Critical Care Medicine,The People's Hospital of Sixian County,Sixian Anhui 234300;Department of Critical Care Medicine,The First Affiliated Hospital of Anhui Medical University,Hefei Anhui 230000,China)

机构地区：[1]安徽省泗县人民医院重症医学科,234300 [2]安徽医科大学附属第一医院重症医学科,安徽合肥230000

出　　处：《蚌埠医学院学报》2021年第8期1119-1122,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨分段开塞露纳肛联合体位管理在脑出血病人便秘治疗中的疗效。方法:将脑出血并发便秘病人53例纳入研究,随机分为观察组和对照组,2组病人依据病情一般治疗及常规护理均相同,在此基础上对照组病人使用常规开塞露纳肛法,观察组病人采用分段开塞露纳肛联合体位管理法,比较2组临床治疗效果、排便时间、灌肠液外溢、肛周出血等发生情况及治疗中和排便时血压、心率变化情况。结果:观察组病人便秘的临床治疗效果优于对照组(P<0.05),排便时间短于对照组(P<0.05),灌肠液外溢、肛周出血率低于对照组(P<0.05);治疗中2组病人血压升高、心率加快变化差异均无统计学意义(P>0.05),而排便时观察组血压升高、心率加快现象均低于对照组(P<0.05)。结论:对脑出血便秘病人使用分段开塞露纳肛联合体位管理法进行治疗,与常规开塞露纳肛法相比具有良好的临床效果,且病人排便时间短、不良反应发生率低,对生命体征影响小。Objective:To explore the application effects of segmental administration of celuna anal combined with position management in patients with cerebral hemorrhage complicated with constipation.Methods:Fifty-three patients with cerebral hemorrhage complicated with constipation were randomly divided into the observation group and control group.Two groups were treated with the general treatment and routine care according to the condition.On this basis,the control group was additionally treated with routine anal prescription seruna,and the observation group was additionally treated with segmental administration of celuna anal combined with position management.The clinical treatment effects,defecation time,perfusion fluid overflow and perianal bleeding,and blood pressure and heart rate changes during treatment and defecation were compared between two groups.Results:The clinical treatment effects of constipation in observation group was significantly better than that in control group(P<0.05),the defecation time in observation group was significantly shorter than that in control group(P<0.05),and the incidence rates of enteral effusion and perianal bleeding in observation group were lower than those in the control group(P<0.05).During the treatment,there was no statistical significance in the changes of blood pressure and heart rate acceleration between two groups(P>0.05),while the phenomenon of blood pressure and heart rate acceleration in observation group during defecation were significantly lower than those in control group(P<0.05).Conclusions:Compared with the conventional method,the application of segmental administration of celuna anal combined with position management in patients with cerebral hemorrhage complicated with constipation has good clinical effects,short defecation time,low incidence rate of adverse reactions and little effect on vital signs.

关 键 词：脑出血 便秘 分段开塞露纳肛 体位管理 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R[医药卫生—临床医学]