术前开塞露纳肛法替代肥皂水灌肠法的临床研究

Clinical Study of Effect of Glycerine Enema Replacing Soft Soap Solution Enema before Operation

目的手术前的肠道准备是协助患者排出积存的粪便和气体,有利于术后肠功能尽快恢复的一项护理操作,本研究探讨了腹部非肠道手术术前晚使用开塞露纳肛法替代肥皂水灌肠法对术后患者肠功能恢复的影响。方法将155例患者随机分为2组,实验组为85例,对照组为70例,实验组采用开塞露纳肛法,对照组采用0.1%～0.2%肥皂水灌肠法。比较手术前晚上排便的情况和手术后肠功能恢复的情况(排气时间、排便时间)。结果术前晚使用开塞露纳肛法和肥皂水灌肠法后患者均能排出粪便;术后排气时间及排便时间,经χ2检验,2组之间差异均无显著性(P>0.05)。结论腹部非肠道手术术前晚可以使用开塞露纳肛法替代肥皂水灌肠法。

Objective Preoperative enema is helpful for patient to discharge feces and gas, it is a basic nursing method for postoperative recovery of intestinal function. The study is to investigate the influences of using Glycerine enema replacing soft soap solution enema on intestinal function recovery of postoperative patients. Methods A randomized study of 155 patients without intestinal tract operation was done. All patients were divided into two groups, the experiment group with 85 cases of patients and 70 cases in the control group. Patients in the experiment group used glycerine enema for bowel preparation, and patients in the control group used soft soap solution enema of 0. 1-0. 2% concentration.Defecation times before operation and intestinal function recovery after operation （the aerofluxus time and defecation time） were compared. Results The defecation time of two groups are equal. The recovery of intestinal function of postoperative period has no significant differences between two groups by x2 analysis. Conclusions It is a feasible method using Glycerine enema to replace the soft-soap solution enema preoperative night.