改良灌肠法在回肠远端造口患者肠道准备中的效果观察

Clinical Effect of Modified Enema in Intestinal Preparation of Patients with Distal Ileostomy

目的:探讨改良灌肠法在回肠远端造口患者肠道准备中的应用效果。方法:选取2020年10月至2022年4月,本院收治的200例行造口还纳术的回肠袢式造口患者。采用随机数字表法分为观察组和对照组,每组100例。对照组采用传统灌肠方法行肠道准备;观察组采用14F单腔导尿管连接一次性输液器方法灌肠,比较2组灌肠效果及患者舒适度。结果:观察组造口返流及外溢的达标率为81.0%,高于对照组的66.0%(P<0.05)。观察组肠道清洁度达标率为64.0%,高于对照组的53.0%(P<0.05)。观察组肠道黏膜Ⅰ级率高于对照组,Ⅱ、Ⅲ级率低于对照组,但差异无统计学意义(P>0.05)。观察组患者舒适率为82.0%,高于对照组的58.0%(P<0.05)。结论:回肠造口患者采用改良灌肠法行肠道准备,肠道清洁情况和患者舒适度均较好,值得临床推广应用。

Objective To investigate the effect of modified enema in intestinal preparation of patients with distal ileostomy.Methods From October 2020 to April 2022,total 200 patients with ileal loop osto-my undergoing ostomy reduction were selected and divided into the observation group and the control group by random number table method,100 cases in each group.The control group was prepared by tradi-tional enema.The observation group underwent enema with 14F single cavity catheter connected with dis-posable infusion set,and the effect of enema and patient comfort rate were compared between the two groups.Results The compliance rate of ostomy reflux and extravasation in the observation group was 81.0%,higher than 66.0%in the control group(P<0.05).The intestinal cleanliness of the observation group was 64.0%,higher than 53.0%of the control group(P<0.05).The grade Ⅰ rate of intestinal mucosa in the observation group was higher than that in the control group,and the grade Ⅱ-Ⅲ rate of in-testinal mucosa in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).The comfort rate of the observation group was 82.0%,which was higher than 58.0%of the control group(P<0.05).Conclusion The modified enema is used for intes-tinal preparation in patients with ileostomy,and both intestinal cleanliness and patient comfort rate are good,which is worthy of clinical application.