妇科手术前清洁灌肠技术的改进

Improvement of Ceaning Enema Technique before Operation of Gynecology Department

目的为妇科手术前肠道准备的改进提供参考。方法选择150例妇科择期手术患者,随机分为观察组与对照组(每组各75例)。观察组采用头低臀高侧卧位,使用无菌生理盐水作为灌肠液,一次性输液管代替橡胶管,吸痰管代替肛管,插入深度延长至30～50cm;对照组采用传统的普通肥皂水灌肠法清洁肠道。结果观察组灌肠后的灌肠次数、每次灌肠量、有便意的时间、腹痛情况、术中效果、术后肛门排气时间与对照组比较差异有统计学意义(p<0.05)。结论清洁灌肠时采用头低臀高侧卧位和增加导管的插入深度,可以提高妇科手术前肠道准备的工作效率,有利于减轻患者的痛苦,提高护士工作效率。

Objective： To offer reference for improvement of cleaning enema technique before operation of gynecology department, Methods： 150 operation patients of gynecology department were randomly divided into 2 groups（n=75）. The control group use traditional enema, while the research group enema with sodium chloride,use disposable tube replace the rubber tube, sputum suctioning tube replace anal canal, and the depth extend to 30-50cm. Results： Compare to the control group, the enema frequency, enema quantity, time of awareness of defecation,stomachache,operation effect and time of passage of gas by anus are statistic significant （p〈0.05）. Conclusion： Enema with lower head and higher buttocks and increase the insert depth could improve the work efficiency of nurses, and relieve the pain of patients.