中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
29期
47-48
,共2页
插管深度%药物灌肠%放射性直肠炎
插管深度%藥物灌腸%放射性直腸炎
삽관심도%약물관장%방사성직장염
Depth of cannula%Drug enema%Radiation proctitis
目的：分析探讨不同的插管深度对药物灌肠治疗放射性直肠炎临床治疗效果的实际影响。方法选取该院2013年1-6月所收治的40例放射性直肠炎患者为研究对象，并按照年龄﹑病程等指标将其平均分为观察组和对照组，每组20例患者。其中在临床治疗中，对照组采取采取常规的方法对患者进行灌肠，并插入导管为15~20 cm；观察组则采取减少插管深度的方法，并让患者采取半俯卧位以及半坐卧位交替的姿势，就患者这两种姿势保留药液进行灌肠治疗。两组患者灌肠之后药物均要保留2 h以上，观察影响的效果。结果观察组治疗的总有效率为90.0%，高于对照组的65.0%。两组患者的治疗有效率等，差异有统计学意义(P<0.05)。结论在治疗放射性直肠炎患者的过程中，采用减少插管长度灌入药液，并让患者保持半俯卧位和半坐卧位交替的姿势保留药液，效果更加显著，药物也能更长时间停留于患者的病变部位。这种治疗方法值得广泛推广。
目的：分析探討不同的插管深度對藥物灌腸治療放射性直腸炎臨床治療效果的實際影響。方法選取該院2013年1-6月所收治的40例放射性直腸炎患者為研究對象，併按照年齡﹑病程等指標將其平均分為觀察組和對照組，每組20例患者。其中在臨床治療中，對照組採取採取常規的方法對患者進行灌腸，併插入導管為15~20 cm；觀察組則採取減少插管深度的方法，併讓患者採取半俯臥位以及半坐臥位交替的姿勢，就患者這兩種姿勢保留藥液進行灌腸治療。兩組患者灌腸之後藥物均要保留2 h以上，觀察影響的效果。結果觀察組治療的總有效率為90.0%，高于對照組的65.0%。兩組患者的治療有效率等，差異有統計學意義(P<0.05)。結論在治療放射性直腸炎患者的過程中，採用減少插管長度灌入藥液，併讓患者保持半俯臥位和半坐臥位交替的姿勢保留藥液，效果更加顯著，藥物也能更長時間停留于患者的病變部位。這種治療方法值得廣汎推廣。
목적：분석탐토불동적삽관심도대약물관장치료방사성직장염림상치료효과적실제영향。방법선취해원2013년1-6월소수치적40례방사성직장염환자위연구대상，병안조년령﹑병정등지표장기평균분위관찰조화대조조，매조20례환자。기중재림상치료중，대조조채취채취상규적방법대환자진행관장，병삽입도관위15~20 cm；관찰조칙채취감소삽관심도적방법，병양환자채취반부와위이급반좌와위교체적자세，취환자저량충자세보류약액진행관장치료。량조환자관장지후약물균요보류2 h이상，관찰영향적효과。결과관찰조치료적총유효솔위90.0%，고우대조조적65.0%。량조환자적치료유효솔등，차이유통계학의의(P<0.05)。결론재치료방사성직장염환자적과정중，채용감소삽관장도관입약액，병양환자보지반부와위화반좌와위교체적자세보류약액，효과경가현저，약물야능경장시간정류우환자적병변부위。저충치료방법치득엄범추엄。
Objective To analyze and explore the actually clinical effect of different depth of cannula in drug enema on radiation proctitis. Methods 40 cases with radiation proctitis admitted in our hospital from January 2013 to June 2013 were selected as the subjects and equally divided into the observation group and the control group with 20 cases in each according to age, course of disease and other indexes. In clinical treatment, the control group was given routine method of drug enema, the catheter was in-serted 15~20 cm, and the observation group was given the drug enema by the method of reducing the depth of the inserted catheter, and the patients took semipronation and semi Fowler's position alternately for retaining the liquid drug. Two groups of patients had to retain the drug over 2h after the drug enema, and the effect was observed. Results The total effective rate of the observation group was 90.0%, higher than 65.0%of the control group, the difference in the total effective rate was statistically sig-nificant (P<0.05). Conclusion Drug enema given to radiation proctitis patients by reducing the length of intubation, and retaining the liquid drug by semipronation and semi Fowler's position alternately, the treatment effect will be better, and the drug can be re-tained longer in the lesions of patients. This treatment is worth popularizing widely.
