CAJ | 학술논문

目的探讨保留灌肠对活动期轻中型远段溃疡性结肠炎(UC)患者行门诊治疗与住院治疗不同方式影响治疗效果的因素.方法筛选2008年2月至2009年10月住院治疗UC患者19例,门诊治疗UC患者19例,两组患者于治疗期间采用相同配方不同方式、方法,不同操作人群进行保留灌肠治疗2～4周,每晚一次,第一疗程结束后以腹痛症状是否缓解、大便性状、次数改变评定疗效.结果门诊组总有效率73.7%,住院组100%,经统计学处理差异具有显著性.结论前瞻性护理技术安全管理、心理护理、巧用吸痰管配合注射器并控制灌肠液注入速度是提高保留灌肠治疗溃疡性结肠炎效果的重要因素,值得医护及患者的重视.
목적 탐토보류관장대활동기경중형원단궤양성결장염(UC)환자행문진치료여주원치료불동방식영향치료효과적인소.방법 사선2008년2월지2009년10월주원치료UC환자19례,문진치료UC환자19례,량조환자우치료기간채용상동배방불동방식、방법,불동조작인군진행보류관장치료2～4주,매만일차,제일료정결속후이복통증상시부완해、대편성상、차수개변평정료효.결과 문진조총유효솔73.7%,주원조100%,경통계학처리차이구유현저성.결론 전첨성호리기술안전관리、심리호리、교용흡담관배합주사기병공제관장액주입속도시제고보류관장치료궤양성결장염효과적중요인소,치득의호급환자적중시.
Objective To investigate the relative factors of retention enema treatment efficacy on active mild and medium distal ulcerative colonitis patients. Method To select 19 residential patients and 19 outpatients of ulcerative colonitis, the two groups were given the same prescription but different ways.The patients had been treated with retention enema for 2-4 weeks, once a night. Efficacy were measured by the alleviation of abodominal pain,the changes of stool characters and frequency after the first treatment course. Results The effective rates of outpatients group was 73.7%,and the residential goups 1000%,there was significant difference between the two gourps.Conclusion Prespective nursing technology safety management, psychological nursing and the use of sputum-aspiratiag tubes with the syringe to control the speed of enema fluid were the important factors of the treament, and it is worthwhile to attach importance of the medical workers and the patients.