慢性结肠炎改良灌肠方法的疗效观察

The Curative Effect of Modified Enema for Chronic Colitis

目的探讨两种不同保留灌肠方法治疗慢性结肠炎的效果。方法将120例患者随机分为试验组(改良方法灌肠)和对照组(传统方法灌肠)各60例,比较两组药物在肠内的保留时间、两组患者临床症状改善情况和纤维结肠镜检查结肠溃疡面的变化。结果试验组药液在肠内的保留时间比对照组明显延长(P<0.05),疗效也优于后者;试验组患者临床症状及镜检溃疡面的改善也明显优于对照组(P<0.05或P<0.01)。结论改良方法灌肠使灌肠液顺应人体解剖特点,使药物在肠道内保留时间长,增加药物的吸收,提高患者的舒适度,利于肠黏膜的愈合,明显提高了药物保留灌肠治疗慢性结肠炎的疗效。

Objective To compare the clinical effects of two retention enema methods for chronic colitis. Methods A total of 120 patients were randomly divided into two groups. The experimental group（ n = 60） was treated with modified enema. The control group （ n = 60） was treated with traditional enema. The time that the enema medication remained in the body, clinical symptoms, and ulcerative areas in colonoscopy were compared between the two groups. Results The time that the enema medication remained in the body was longer in the experimental group than that in the control group with better curative effect（ P 〈 0.05 ）. The experimental group had less symptoms and improved better ulcerative areas than the control group （ P 〈 0.05 or P 〈 0.01 ）. Conclusion The modified enema method infuses enema fluids according to human body anatomy. It improves the curative effect of retention enema for chronic colitis by prolonging the time of enema medications in the body, increasing medication absorption, making patients comfort, and healing bowel mucosa.