手指探查插肛管法灌肠在肿瘤患者化疗期间并发便秘中的应用效果观察

Observation of the efficacy of digital rectal enema on tumor patients with constipation during chemotherapy

目的：探讨手指探查插肛管法灌肠应用于肿瘤患者化疗期间并发便秘的效果。方法将200例在化疗期间并发便秘需要灌肠的肿瘤患者通过SPSS进行分层区组随机分组分为观察组和对照组各100例。观察组采用手指探查插肛管法灌肠，对照组采用常规插肛管方法灌肠，比较两组效果。结果观察组一次插管成功率为98．0％，高于对照组的85．0％，差异有统计学意义（χ2＝10．865， P＜0．01）；观察组插管过程中不良反应发生率为6％，低于对照组的17％，差异有统计学意义（χ2＝5．944， P＜0．05）；观察组患者重度疼痛发生率为5％，对照组为17％，差异有统计学意义（U ＝-3．505，P＜0．01）。结论手指探查插肛管法灌肠灌肠较常规插管发灌肠更安全、有效，减少患者痛苦，有较高的临床应用价值。

Objective To explore the efficacy of digital rectal enema on tumor patients with constipation during chemotherapy .Methods Two hundred tumor patients with constipation during chemotherapy were divided into the control group and the experimental group according to stratified blocked randomization , each with 100 cases.The control group received the conventional enema , and the experimental group received the digital rectal enema .Results The incidence of successful intubation one time in the experimental group was 98.0%, and was higher than 85.0%in the control group , and the difference was statistically significant （χ2 =10.865,P〈0.01）.The incidence of adverse reactions in the process of intubation was 6% in the experimental group, and was lower than 17%in the control group, and the difference was statistically significant （χ2 =5.944, P〈0.05）.The incidence of severe pain in the experimental group was 5%, and was lower than 17% in the control group, and the difference was statistically significant （u=-3.505,P〈0.01）.Conclusions Compared with the conventional enema , the digital rectal enema is safer and more effective , and can reduce the patient ’ s suffering, and bears a great value in clinical practice .