渐入深度清洁灌肠与传统清洁灌肠的效果比较研究

Comparative Study of Effects of Gradually Deeping Cleansing Enema and Traditional Cleansing Enema

目的比较渐入深度清洁灌肠与传统清洁灌肠两种方法的效果。方法收集我院2010年1月至2014年12月清洁灌肠病例60例，随机分为传统组和改良组，每组30例。传统组使用温肥皂灌肠液，一次性插入肠管30cm；改良组使用40℃～43℃生理盐水，插入肛管深度为5cm，依次递进5cm，直到30cm。比较两组的灌肠液量、不良反应发生率、术后发热人数及术后肛门排气时间。结果改良组灌肠液量少于传统组，不良反应发生率低于传统组，术后发热人数少于传统组．术后肛门排气时间早于传统组，差异具有统计学意义（P〈0．05）。结论渐入深度清洁灌肠法可减少病人的不良反应，减轻护理人员的工作量．促进病人的康复，值得在临床中推广应用。

Objective To compare the effects of gradually deeping cleansing enema and traditional cleansing enema. Methods Sixty patients with cleansing enema were randomized into traditional group （n = 30, traditional cleansing enema） and modified group （n = 30, gradually deeping cleansing enema）. The traditional group used warm soap, disposable insertion of intestine 30 cm, the modified group used saline with 40 to 43 ℃, inserting anal 5 cm, progressively 5 cm, until 30 cm, to compare the enema volume, incidence of adverse reactions, the cases of postoperative fever and postoperative anal exhaust time between the two groups. Results The enema volume and incidence of adverse reactions of the modified group were significantly lower than those of the traditonal group （P 〈0.05）. The number of postoperative fever and postoperative anal exhaust time of the modified group were significantly lower than those of the traditional group （P 〈0.05）. Conclusions Gradually deeping cleansing enema can reduce patients＇ adverse reactions, reduce the workload of nurses and improve patients＇ rehabilitation, which deserves clinical application.