改良卧位对清洁灌肠次数的影响及临床应用

Influence of improved clinostatism on cleaning enema times and its clinical application

[目的]探讨改良卧位对清洁灌肠次数的影响及临床应用。[方法]选择2006年7月—2007年3月在我科住院的需要清洁灌肠的病人80例，将80例病人随机分为两组．实验组40例，对照组40例。对照组采用传统的卧位,病人取左侧卧位，灌入灌肠液后，以同样的体位保留5min～10min,然后自行排便。实验组采用改良卧位，即病人先取左侧卧位，将臀部抬高10cm，每次灌入灌肠液后，取屈膝抬臀卧位，稍后再取右侧卧位，共保留灌肠液5min～10min，然后自行排便。[结果]改良卧位清洁灌肠达到肠道清洁效果的灌肠次数较传统体位次数少。[结论]清洁灌肠时改良卧位方法优于传统清洁灌肠方法。

Objective： To probe into the influence of improved clinostatism on cleaning enema times and its clinical application. Methods： A total of 80 inpatients in our department and needed for cleaning enema from July in 2006 to March in 2007 were selected and divided into test and control group randomly and equally 40 cases each. Inpatients of control group took the traditional clinostatism. They were in left recumbent position and enema fluid was remained for five to ten minutes at the same position after pouring in. Then they were waiting for self- defecation. Inpatients of test group took improved clinostatism. At beginning, inpatients took left recumbent position, and head was kept 10 cm lower and the croupwas kept 10 cm higher. Each time after pouring enema fluid, patients took thegenuflex raising buttock position, then they were changed to right arm reclining and whole enema fluid was retained for five to ten minutes. Then they were waiting for self- defecation as well. Results： Improved clinostatism for cleaning enema can significantly decrease times of enema. Conclusion： Improved clinostatism method of cleaning enema is better than traditional cleaningenema method.