新斯的明肥皂水灌肠防治术后肠胀气疗效观察

Effects and nursing observation of neostigmine-soapsuds enema for prevention and cure the Post operation intestinal flatulence

目的观察新斯的明肥皂水灌肠防治术后肠胀气的疗效。方法选腹部手术病例789例,随机分成5组,即新斯的明组(NTM)165例,0.2%和1%肥皂水灌肠组(SWE)163例(SWER)和156例,新斯的明肥皂水(浓度0.2%和1%)灌肠组(NTM-SWE)157例(NTM-SWEA)和148例(NTM-SWEB)。分别对其进行相应的治疗与护理,对比不同方法的疗效、肠功能恢复时间、肛门排气时间及并发症。结果SWEA与SWEB组,NTM-SWEA与NTM-SWEB差异无显著意义(P>0.05)。SWEA,B组肠功能恢复时间明显晚于NTM组,在阑尾手术组中NTM-SWEA,B组早于NTM组,而肝胆手术组中SWEA,B组和NTM-SWEA,B则均早于NTM组。结论新斯的明肥皂水灌肠治疗腹部术后肠胀气比单独使用新斯的明注射和单独肥皂水灌肠要好。

Objective To observe the effects of neostigmine-soapsuds enema for prevention and cure the post-operation intestinal flatulence. Method 789 cases patients were randomly divided into five groups, they were respectively neostigmine group （NTM,n= 165）, 0.2% and 1 % soapsuds enema groups （SWE A, B, A n= 163 ,B n= 156） and neostigmine-soapsuds enema groups （the soapsuds concentration were 0.2 % and 1%, NTM-SWE A, B, A n = 157,B n= 148）. To contrast the effects recovery time of intestines function, time of passage of gas by anus and complications. Result There were no significant difference between SWEA vs SWEB, NTM-SWEA vs NTM-SWEB （P〉0.05）. The recovery time of intestines function of the SWEA,B were late than the NTM, the NTM-SWE A, B were early than the NTM in the appendectomy groups, but the SWEA,B and NTM-SWEA,B were early than the NTM in the liver and gall operations. Conclusion Post-operation intestinal flatulence was treated with the neostigmine-soapsuds Enema was super to the neostigmine injection and only soapsuds enema.