改良法保留灌肠治疗溃疡性结肠炎的临床观察

Improved method of retention enema to patients of ulcerative colitis

目的观察改良法保留灌肠在溃疡性结肠炎治疗中的临床效果。方法选择该科溃疡性结肠炎需接受保留灌肠治疗的患者63例,随机分为常规组、改良组A组和改良组B组,分别应用常规法、部分改良法及改良法进行保留灌肠;部分改良法应用滴注法替换常规推注法,改良法除采用滴注法,同时在输液器末端套夹输液恒温器;观察三组患者的保留灌肠时间。结果改良组B组患者的保留灌肠时间较常规组及改良组A组存在显著差异(P<0.017)。改良组A组较常规组无统计学差异(P=0.477>0.017)。结论通过输液器末端套夹输液恒温器、应用滴注法,对保留灌肠方法进行改良,较常规法保留灌肠能有效延长药物在肠道内的保留时间。

Objective To investigate the effect of retention enema by improved method to patients of ulcerative colitis. Methods 63 patients of ulcerative colitis were enrolled and divided randomly into three groups,which used traditional method（control group）, partly improved method（group A） and improved method（group B）. Results The maintenance of liquid medicine in intestinal tract was longer in group B than in the control group and group A（P 〈 0. 017）. There was no statistically significant difference between the control group and group A （P 0.477 〉 0. 017）. Conclusions For ulcerative colitis patients,the improved method of retention enema by adopting infusion method and infusion thermostat provides a better effect in the liquid medicine retention than traditional method.