改良体位生大黄保留灌肠对急性胰腺炎腹胀的影响

Influence of raw rhubarb retention enema on treatment of acute pancreatitis patients with improved position

目的观察改良体位生大黄小量保留灌肠辅助治疗急性胰腺炎导致的麻痹性肠梗阻的临床效果。方法将急性胰腺炎患者随机分为观察组25例和对照组24例,2组均应用急性胰腺炎常规治疗方案,辅助中药生大黄小量保留灌肠。观察组采用改良体位生大黄保留灌肠法,对照组则采用左侧卧位生大黄小量保留灌肠法。结果观察组在临床症状改善、腹痛缓解、腹胀缓解、肠鸣音恢复、首次自然排便、平均住院日等方面均优于对照组(P<0.05)。结论改良体位生大黄保留灌肠法能有效缓解急性胰腺炎麻痹性肠梗阻的腹痛、腹胀症状,并且缩短患者的住院时间,提高急性胰腺炎的治愈率。

Objective To explore the therapeutic effect of small amount of raw rhubarb retention enema on the treatment of paralytic ileus caused by acute pancreatitis in patients with improved posi- tion. Methods 49 patients with acute pancreatitis were randomly divided into observation group （ n = 25） and control group （ n = 24）. Both groups were treated with conventional therapeutic regi- men for acute pancreatitis and adjunctive therapy of small amount of raw rhubarb retention enema. On the basis of conventional treatment, the patients in the observation group chose improved posi- tion for raw rhubarb retention enema, while the patients in the control group chose left - lateral po- sition for retention enema. Results Indexes such as improvement of clinical symptoms, relieving of abdominal pain and distention, activity of bowel sounds, primary spontaneous defection and mean hospital stay in the observation group were significantly better than those in the control group （P 〈 0.05）. Conclusion Application of raw rhubarb retention enema in the treatment of acute pancre- atitis patients with improved position can effectively relieve the symptoms of abdominal pain and dis- tention caused by paralytic ileus, shorten the duration of hospital stay and raise the recovery rate of patients with acute pancreatitis.