摘要
目的探讨OB内置卫生棉条在老年肛门括约肌松弛患者保留灌肠中的应用效果。方法将印例高龄肛门括约肌松弛老年患者随机分为实验组和对照组各30例，实验组灌肠后使用OB卫生棉条填塞肛门，对照组灌肠后采用传统处理措施。比较两种方法对老年患者第1次灌肠后排便时间、每天排便次数、肛周皮肤完整程度和预后的影响。结果实验组灌肠后第1次排便时间为（5．90±1．96）h，每天排便次数为（3．27±1．05）次，对照组分别为（3．40±1．37）h，（4．57±0．86）次，两组比较差异均有统计学意义（t=-7．633，5．255；P〈0．01），OB内置卫生棉条延长了患者灌肠后第1次排便时间，减少了排便次数；实验组治疗有效率为96．7％，对照组为76．7％，差异有统计学意义（x2=5．192，P=0．023）；实验组肛周皮肤的完整性优于对照组（P〈0．05）。结论采用OB内置卫生棉条对老年的肛门括约肌松弛患者进行保留灌肠后填塞是一种合理的、有效的护理手段。
Objective To investigate the effect of using OB built-in tampon for elderly patients with anal sphincter relaxation. Methods Total 60 elderly patients with anal sphincter relaxation were randomly divided into two groups, 30 cases in each group： the OB built-in tampon group and the control group. We compared the time between the first defecation and enema, times of defecation in the first day after enema, peri-anal skin integrity and the prognosis of patients between the two groups. Results First defecation time was （5.90 ± 1.96） h, times of defecation per day was （3.27 ± 1.05 ）, those in control group were （3.40 ± 1.37 ） h, （4. 57 ± O. 86 ）, respectively, and the difference was significant （t = - 7. 633,5. 255 ; P 〈 0. 01 ）. Using the OB built-in tampon prolonged the time between the first defecation and enema, decreased the times of defecation in the first day after enema, the effective rate was 96.7% OB built-in tampon, and 76.7% in control group, and the difference was statistically significantly （ X2 = 5. 192, P = O. 023 ）. Peri-anal skin integrity has improved than control group （ P 〈 0. 05）. Conclusions OB built-in tampon is a reasonable and effective measurement for elderly patients with anal sphincter relaxation.
出处
《中华现代护理杂志》
2011年第35期4377-4379,共3页
Chinese Journal of Modern Nursing
