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开塞露纳肛促使腹部手术后肛门排气的临床观察
Clinic observation of glycerine enema admitted to anus to spur anus exhausting after abdomen operation
【摘要】 目的 探讨减轻腹部手术后腹胀症状 ,促进肛门早期排气排便的方法。方法 将腹部手术病人术后腹胀的 90例随机分成未用开塞露 (对照 )和应用开塞露 (观察 )两组。观察组方法为 :病人感腹胀时 ,让病人左侧卧位 ,双腿屈曲 ,臀部稍抬高 ,自然放松。取规格为 2 0ml/只的开塞露 2只 ,剪开头部 ,纳入直肠内 ,嘱病人平卧 10~ 30min ,有便意时用便盆放在臀下解大便 ,能下床者去厕所解大便。若不能排气排便 ,再取规格为 2 0ml/只的开塞露 2只重复使用。结果 观察组 4 5例 ,在应用开塞露后肛门排便排气 ,腹胀减轻 ,经统计学分析 ,总有效率为 97 8% ,对照组为 71 1%。两组疗效例数分布比较 :χ2 =18 35 ,P <0 0 1,提示两组差异有显著性。结论 开塞露可促使腹部手术后肛门排气排便 ,减轻腹胀 ,减少病痛及精神压力 ,预防术后肠粘连及各种并发症发生。
【Abstract】 Aim To speed intestines wriggle resume early can ease abdominal distension well,decrease ailment and inspirit tension and prevent intestines conglutination and many complications after abdomen operation.Method 90 patients who felt abdominal distension after abdomen operation were divided into therapy group and contrast group at random.The patients should lie left position,bent two legs,raise buttocks and relax body naturally when the patients feel abdominal distension.Then,the therapy group was given two units 40 ml Glycerine Enema into anus.After 10 to 30 min,the patients maybe stool and exhaust.Anther two units if he or she still can not exhaust or stool.Result the index was significant (P<0.01) by χ 2 examination.The general efficiency rate of the therapy group is 97.8% and the contrast group is 71.1%.Compereing with two groups, they were obvious different.Conclusion it have practical value that Glycerine Enema can spur anus exhaust and stool after abdomen operation.
【Key words】 glycerine enema; abdomen operation; abdominal distension; anus exhaust;
- 【文献出处】 安徽医药 ,Anhui Medical and Pharmaceutical Journal , 编辑部邮箱 ,2005年01期
- 【分类号】R656
- 【被引频次】23
- 【下载频次】172