不同灌肠法应用于胃肠术后腹胀效果观察

目的比较两种不同的灌肠液、灌肠方法以及灌肠后的效果。方法选取胃肠手术后腹胀或者术后3～5天不能排气的患者,用双盲法分成两组。观察组25例,采用14号一次性吸痰管,使用0.9%的生理盐水40ml+开塞露3支(20ml/支),插入肛门30～35cm。对照组25例,采用14号一次性肛管,使用0.9%生理盐水500ml,插入肛门15～20cm。观察对比两组患者灌肠后的效果。结果观察组的方案优于对照组,对预防和治疗术后腹胀,促进胃肠功能恢复有疗效,观察组总有效率为100%,对照组为76%,两种灌肠法的效果比较,有显著差异。结论灌肠液配置方便,操作简便,值得推广。

Objective To compare two different enema,enema and enema effect.Methods abdominal distention after gastrointestinal surgery,or 3-5 days after surgery patients can not exhaust,divided into two groups by double blind method.Observation of 25 patients,the use of disposable suction tube 14,the use of saline 0.9% 40ml＋ enema 3 （20ml/sticks）,inserted into the anus 30～35cm.The control group 25 cases,with 14 one-time anal canal,the use of 0.9% saline 500ml,inserted into the anus 15～20cm.After the two groups were observed and compared the effect of enema.Results The total effective observation of 100%,76% of the control group,comparison of the effects of two enema,a significant difference.Conclusion The observation group than the control group of programs on prevention and treatment of postoperative abdominal distention,and promote effective recovery of gastrointestinal function,for patients with early feeding,increase nutrition,length of hospital stay.Enema easy to configure,easy to operate,it is worth promoting.