不同灌肠法对老年急性脑出血便秘患者的效果比较

Effect of different elimination way on the senile cerebral hemorrhage patients with constipation

目的比较不同灌肠法对老年急性脑出血便秘患者的疗效。方法将90例老年急性脑出血患者随机分为实验组和对照组，每组45例。实验组采用新型医用肛管法，对照组采用传统法。比较两组患者肠道清洁度及灌肠后不良反应发生情况。结果实验组患者肠道清洁度评价，总有效率91．11％；对照组点有效率71．11％，两组比较差异有统计学意义（x^2=5．87，P〈0．05）；灌肠不良反应发生率实验组低于对照组，差异有统计学意义（P〈0．05）。结论用新型医用肛管效果明显好于传统方法，既减少了患者的痛苦，也减少了便秘引起的危害，有利于患者的康复。

Objective To explore the effect of different elimination way on senile cerebral hemorrhage patients with constipation. Methods Totals of 90 senile cerebral hemorrhage patients with constipation were randomly divided into experimental group which received the position-changing slow insertation （PCSI） and control group which received conventional method. Results The first clyster efficient was 91.11% （41eases） and 71.11% （32eases） respectively in experimental group and control group, and the difference was statistically significant （ X^2 =5.87 ,P 〈 0.05 ）. Clysis fluid overflow of experimental group was 15.6% significantly lower than that of the control group that was 55.6% （ X^2 = 15.71, P 〈 0. 05 ）, and the adverse effects rate of experimental group was significantly lower than that of the control group （ P 〈 0.05 ）. Conclusions The effect of the new clyster method is better that of the traditional method, which can reduce the pain of elderly patients, decrease the dama~,e of eonstination and nromote natients＇ rehabilltntlnn.