妇科患者应用改良灌肠法与传统灌肠法的效果比较

Clinical effects about modified cleaning clysis and traditional clysis in patients with gynaecological diseases

目的 探讨妇科手术前清洁灌肠的最佳体位及插管长度。方法 将妇科手术需行清洁灌肠的患者507例，随机分为实验组257例和对照组250例，实验组采用改良法：头低臀高左侧卧位（臀部抬高30，35cm），肛管插入长度20—22cm；对照组采用传统左侧卧位，肛管插入长度7—10cm。比较2组患者灌肠清洁次数、肠道清洁度、不适感及灌肠入液量的差异。结果 2组患者灌肠次数、肠道清洁度、不适感及灌肠入液量的比较差异均有统计学意义（P〈0．01），实验组显著优于对照组。结论 改良灌肠法能彻底清洁肠道，可减轻患者痛苦和护士的工作量。

Objective In order to make clear the best posture of body and the length of intubation of cleaning clysis for patients with gynaecological diseases before the operation. Methods Divided 507 pre-operation patients with gynaecological diseases into two groups randomly. The experimental group （257 cases） use modified cleaning enema： low-head and high- buttock and left bed rest （buttock highed 30-35 cm）, length of intubation was 20-22 cm;The control group（250 cases）use traditional left bed rest, length of intubation was 7-10 cm. Results The differences of times of intubation, cleaning degree of intestinal tract,malaise and quantity of liquid between the two groups were significantly （P〈0.01）. Conclusions Modified cleaning clysis could cleaned the intestinal tract,release the pain of patients and decreased the nurses work.