CAJ | 학술논문

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.
목적 탐토개량청길관장법재술전장도준비적응용효과,극복전통관장법적결점,제고관장질량.방법 장2011년1월지2012년1월재보외과주원술전수청길관장적환자100례수궤분성2조,각50례.관찰조(개량조)채용좌측와둔고위증가삽관심도,배합하복부안마신적개량방법진행청길관장;대조조채용전통적방법진행청길관장.비교2조환자적관장시간、관장차수、매차관장액량、총관장액량급2조환자장도청길정황、점막손상정황、병인만의도.결과 관찰조관장시간、관장차수명현소우대조조,관찰조매차관장액량명현대우대조조,관찰조총관장액량명현소우대조조,차이균유통계학의의(P＜0.01);관찰조재장도청길、환자만의도방면명현고우대조조,관찰조장도점막손상방면명현저우대조조,차이균유통계학의의(P＜0.01).결론 개량청길관장방법구유관장시간단,매차관입액량다,총관장액량소,불손상장도점막,제고관장질량,환자만의도고등우점,치득림상추엄응용.
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' satisfaction 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.