慢性盆腔炎治疗中循证护理保留灌肠的研究

Study on the treatment of chronic pelvic inflammatory disease in the evidence based nursing of retention enema

目的通过对循证护理思维保留灌肠在慢性盆腔炎患者中的应用观察,探讨循证护理在治疗慢性盆腔炎方面的作用和效果。方法针对我院近3年出现的慢性盆腔炎患者进行调查,然后在排除了一些存在合并症、采取应用激素治疗、糖尿病患者之后,选择了120例患者,基础护理与护理措施一致,随机分为两组:研究组80例给予循证护理保留灌肠(蒲苓盆炎康颗粒保留灌肠治疗)、对照组40例不给于循证护理保留灌肠,治疗结束后进行观察,比较两组治疗后对慢性盆腔炎治疗的有效率、不良反应以及停止治疗3个月、6个月、12个月复发率和患者的满意度。结果研究组与对照组治疗后,治疗组80例患者,总有效率为97.5%(78/80),对照组40例患者,总有效率80%(32/40),治疗组与对照组比较差异有统计学意义(P<0.01)。停止治疗后3个月、6个月、12个月复发率:研究组分别为5%(4/80)、7.5%(6/80)、12.5%(10/80);对照组分别为35%(14/40)、50%(20/40)、62.5%(25/40)。研究组与对照组相比较,研究组明显优于对照组(P<0.05)。结论循证护理保留灌肠治疗慢性盆腔炎,能提高临床疗效使患者早日康复,复发率低,患者满意度高,能提高护理水平,值得护理上广泛推广应用。

Objective Through observation of evidence-based nursing thinking retention enema in patients with chronic pelvic inflammatory disease in the study, the function and effect of evidence-based nursing in the treatment of chronic pelvic inflammatory disease.Methods With chronic pelvic inflammatory disease, methodappearing in nearly three years in our hospital within the investigation, and then in the exclusion of some existingcomorbidities, patients taking use of hormone therapy, diabetes selected 120 cases of patients, nursing andnursing measures of each, were randomly divided into two groups： study group of 80 cases received evidence-based nursing retention enema（PU Ling pen Yan Kang Granule retention enema）, 40 cases in the control group were not given to evidence-based nursing retention enema, after the end of treatment were observed, on the treatment of chronic pelvic inflammatory disease were compared between the two groups after the treatmentefficiency, adverse reaction and stop for 3 months, 6 months, 12 months, recurrence rate and the patients＇ satisfaction. Results The study group and the control group after treatment, the treatment group 80 cases, the total effective rate was 97.5%（78/80）, 40 patients in the control group, the total efficiency of 80%（32/40）, there was statistical significance in the treatment group compared with the control group（P0.01）. Recurrence in 3months, 6 months, 12 months after cessation of treatment： rate of study group were 5%（4/80）, 7.5%（6/80）, 12.5%（10/80）; the control group were 35%（14/40）, 50%（20/40）, 62.5%（25/40） study group compared with the control group, research group was significantly better than the control group（P0.01）. Conclusion Evidence based nursing retention enema treatment of chronic pelvic inflammatory disease, can improve the clinical efficacy of thepatients in early recovery, low recurrence rate, high patient satisfaction, can improve the level of nursing care,worthy of wide popularization and Application