摘要
目的探讨改良清洁灌肠法在术前肠道准备的应用效果，克服传统灌肠法的缺点，提高灌肠质量。方法将2011年1月至2012年1月在普外科住院术前需清洁灌肠的患者100例随机分成2组，各50例。观察组（改良组）采用左侧卧臀高位增加插管深度，配合下腹部按摩新的改良方法进行清洁灌肠；对照组采用传统的方法进行清洁灌肠。比较2组患者的灌肠时间、灌肠次数、每次灌肠液量、总灌肠液量及2组患者肠道清洁情况、粘膜损伤情况、病人满意度。结果观察组灌肠时间、灌肠次数明显少于对照组，观察组每次灌肠液量明显大于对照组，观察组总灌肠液量明显少于对照组，差异均有统计学意义（P〈0．01）观察组在肠道清洁、患者满意度方面明显高于对照组，观察组肠道粘膜损伤方面明显低于对照组，差异均有统计学意义（P〈0．01）。结论改良清洁灌肠方法具有灌肠时间短，每次灌入液量多，总灌肠液量少，不损伤肠道粘膜，提高灌肠质量，患者满意度高等优点，值得临床推广应用。
Objective To explore the effect of applying improved cleansing enema on preoperative bowel preparation overcome the weakness of the traditional enema to improve the quality of enema. Methods 100 patients who required cleansing enema in general surgery department of the hospital before surgical operation from January 2011 to January 2012 were randomly divided into two groups. Patients in the improvement group were required to lie on the left later recumbent position and increase the depth of the intubation; combining with massage with the lower abdomen. The control group received the traditional cleansing enema. Time of cleansing enema, times for cleansing enema, solution volume for every times, total solution volume for the whole progress, situation of cleansing, condition of mucosa injury and patients＇ satisfac- tion of two groups were compared.Results There were significant differences between the groups in time of cleansing enema, times for cleansing enema and solution volume （all P〈0.01）. Number of cleansing bowel, condition of mucosa injury and satisfaction degree of patients also had significant differences（all P〈0.01）.Conclusions Compared with the control group, solution volume used for cleansing enema was larger, the time reduced and mucosa were no injury in the improvement group. Therefor, the improved cleansing enema deserves further clinical application.
出处
《国际医药卫生导报》
2012年第16期2457-2460,共4页
International Medicine and Health Guidance News
关键词
术前肠道准备
改良清洁灌肠
护理技术
Preparative bowel preparation
Improved cleansing enema
Nursing technique
