中药灌肠治疗重度烧伤患者感染期内胃肠功能障碍的护理与观察

Nursing and observation of traditional Chinese medicine enema in treatment of gastrointestinal dysfunction in severe burn patients during infection

目的比较中药灌肠与常规灌肠治疗重度烧伤患者感染期内胃肠功能障碍的临床效果。方法对照组于出现胃肠蠕动减弱症状开始予以禁食、胃肠减压、肛管排气、0.9%氯化钠溶液灌肠、肠外营养、抗生素等治疗。治疗组在常规治疗的基础上将灌肠液改为自制中药方剂。结果治疗组灌肠后疗效83.3%（30/36）与对照组41.7%（15/36）相比差异有统计学意义（P〈0.05）。在肠鸣音恢复时间、腹胀消失时间、肛门排气时间方面,治疗组分别为（7.0±0.8）d、（3.4±0.9）d、（7.3±0.8）d,对照组分别为（12.6±1.8）d、（7.1±1.2）d、（13.4±1.9）d,2组数据相比差异均具有统计学意义（P〈0.05）。结论中药灌肠对于感染期发生胃肠功能紊乱的大面积烧伤患者作用迅速、安全可靠、给药方便,对患者胃肠功能蠕动减弱疗效显著。

Objective To compare the traditional Chinese medicine enema and routine enema in the period of gastrointestinal dysfunction in patients with severe burn infection the clinical effect of treatment.Methods The control group weakened symptoms on gastrointestinal peristalsis began to appear fasting,gastrointestinal decompression,anal exhaust,saline enema,parenteral nutrition,antibiotic treatment.On the basis of routine treatment in the treatment group the enema for Chinese medicine prescription.Results The curative effect in the treatment group after enema 83.3%（30/36） compared with the control group 41.70%（15/36） had significant difference（P〈0.05）.At the time of borborygmus,abdominal distension disappeared time,anus Exhaust time,the treatment group were（7.0±0.8）d,（3.4±0.9）d,（7.3±0.8）d,the control group were（12.6±1.8）d,（7.1±1.2）d,（13.4±1.9）d,two sets of data were compared with statistical difference（P〈0.05）.Conclusion The traditional Chinese medicine enema for large surface gastrointestinal dysfunction during infection deposition burn patients is rapid,safe and reliable,convenient administration,significant curative effect on gastrointestinal functions in patients with motility.