肠梗阻患者行肠镜检查前清洁灌肠方法的改进

The process improvement of the cleaning enema for the patients with intestinal obstruction before enteroscopy

目的提高肠梗阻患者清洁灌肠的效果。方法将71例肠梗阻行肠镜检查的患者随机分成实验组与对照组,实验组患者取膝胸卧位,采用14F吸痰管作为肛管,插入5～7 cm,进行清洁灌肠;对照组患者采用传统的清洁灌肠方法。结果实验组肠道清洁度有明显改善,灌肠次数、灌肠总液量较对照组减少（P〈0.05）。结论肠梗阻患者膝胸卧位可有效提高清洁灌肠的效果。

Objective To improve the efficacy of cleaning enema in patients with intestinal obstruction.Methods Seventy-one patients with intestinal obstruction were randomly divided into two groups：experimental group and control group.Experimental group patiens received cleaning enema in genupectoral position,with the 14F sputum-aspiration tube as the anal tube inserting into five to seven centimeters.And the control group patients received cleaning enema in the traditional way.Results In comparision to the control group,the depuratory of intestinal tract in experimental group was conspicuously improved,with fewer lavement frequency and less total volume of irrigating solution（P〈0.05）.Conclusion The efficacy of cleaning enema was singificantly improved when the patients with intestinal obstruction were in the genupectoral position.