摘要
[目的]观察中药保留灌肠与特色护理慢性结肠炎疗效。[方法]使用前瞻性设计方法,对156例住院患者保留灌肠。插管深度：直肠15∽20cm,乙状结肠以上15∽25cm,灌肠时臀部抬高;灌肠液温度38--41℃;体位：灌肠时左侧卧位,臀部抬高10cm,灌肠后依次变换体位：左侧卧位-俯卧位-膝胸位-右侧卧位,每种体位保持5min;灌肠观察：密切观察有无心慌、出汗、及腹部胀痛,如出现上述症状,立即停止。灌肠后护理：嘱患者不要立即排便,适时改变体位有利于药物进入结肠,排便后用温水冲洗肛门;特色护理（心理调护、饮食护理、健康指导）。连续治疗14d为1疗程。观测临床症状、肠黏膜状况、腹痛、腹泻、大便性状（黏液便、脓血便、里急后重）、不良反应。治疗1疗程,判定疗效。[结果]溃疡性结肠炎痊愈45例,显效40例,有效10例,无效4例,总有效率95.96%;慢性结肠炎痊愈26例,显效25例,有效5例,无效1例,总有效率98.24%。[结论]中药保留灌肠与特色护理慢性结肠炎,疗效满意,无严重不良反应,值得推广。
[Objective]Observe clinical curative effect and nursing of traditional Chinese medicine in the treatment of chronic colitis enema. [Method]Select 156 patients with chronic colitis cases, give the prospective plan to give the enema treatment. Depth： rectum 15∽20cm, upper sigmoid 15∽25cm, raise up hips when receiving treatment. Temperature： 38∽41 ℃. Position： lie on the left side, hips raise 10 cm, change position every time after treatment： Left lying prone position-the knee chest position-right decubitus. Each asana：5min;enema with close observation has flustered, sweating, and abdominal pain, such as the above symptoms, immediately stop. After care： instructing patients do not immediately defecation, timely change the position in favor of the drug into the colon, rinse with warm water after defecation anus; characteristics of Nursing（psychological care, diet nursing, health guidance）. 14 d continuous treatment for 1 course of treatment. Observation of clinical symptoms, abdominal pain, diarrhea, intestinal condition, stool（mucus, pus and blood stool, tenses）, adverse reaction. 1 course of treatment, treatment to determine efficacy. [Result] Ulcerative colitis cured 45 cases, markedly effective in 40 cases,effective 10 cases, invalid 4 cases, the total efficiency of 95.96%;chronic colitis cured 26 cases, markedly effective in 25 cases, effective 5 cases, invalid 1 cases, the total efficiency of 98.24%. [Conclusion]Retention enema with traditional Chinese medicine and nursing feature of chronic colitis, the curative effect is satisfied,no serious adverse reaction,is worth promoting.
出处
《实用中医内科杂志》
2015年第5期27-29,共3页
Journal of Practical Traditional Chinese Internal Medicine
