溃疡性结肠炎的中药保留灌肠技术规范化研究进展

Research progress on TCM retention enema technical standardization for ulcerative colitis

中药保留灌肠法是临床常用的治疗溃疡性结肠炎的中医护理操作技术。传统中药保留灌肠法因器械不佳、方法落后等原因,会给病人造成肛门或直肠黏膜损伤、腹痛腹泻、灌肠液保留时间短等问题,进而影响疗效和病人舒适度。现从灌肠的器材、速度、温度等8个方面综合分析中药保留灌肠技术的规范化进程,发现众多临床研究在灌肠的速度、温度、插管深度和保留时间上有较大争议,目前尚缺乏有循证依据的统一规范,且现有研究中普遍存在试验设计不严谨的问题,尚需从大样本多中心临床试验开始研究,以期规范的指导临床实践,促进该技术的推广和中医护理学科发展。

TCM retention enema is a TCM nursing technique commonly used in clinical treatment of ulcerative colitis.Because of poor equipment and methods behind,traditional TCM retention enema may cause anal or rectal mucosa,abdominal pain,diarrhea and short retention time of ene-ma fluid and other issues,and then to affect the efficacy and patients’ comfort.From eight aspects of enema equipment,speed,temperature, etc,the author comprehensively analyzed the standardization process of TCM retention enema technology,and found that there was greater con-troversy in enema speed,temperature,retention time and intubation depth.At present,there was a lack of evidence based unified standard, and there was prevalent problem with not rigorous trial design,and still need to start to study from a large sample multi center clinical trials,so as to guide clinical practice normally and promote the popularization of the technology and Chinese medicine nursing science development.