功能性便秘治疗中开塞露使用护理操作改革与使用效果分析
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摘要
目的探讨开塞露使用护理操作改革与使用对功能型便秘的治疗效果,为临床提供参考依据。方法选择2016年1月到2018年12月在海丰县彭湃纪念医院住院期间出现便秘需要使用开塞露的患者450例作为研究对象。通过动态化随机分组的方法,将患者分为A、B、C三组,每组150例。A组患者采用常规方式开塞露直接注入,B组患者采用一次性导尿管注入开塞露,C组患者采用一次性吸痰管注入开塞露。比较三组患者的临床疗效、首次排便时间、每周排便次数以及不良反应发生情况。结果 C组患者的治疗总有效率为93.33%,明显高于A组的76.67%和B组的84.00%,差异均有统计学意义(P<0.05);C组患者的首次排便时间为(0.52±0.43) h,明显短于A组的(2.21±0.98) h和B组的(1.41±0.57) h,差异均有统计学意义(P<0.05);用药前,三组患者每周排便次数比较差异均无统计学意义(P>0.05);用药中及用药后,C组患者的每周排便次数分别为(7.51±2.64)次、(4.61±1.95)次,明显多于A组的(4.72±1.06)次、(2.94±1.28)次和B组的(5.94±1.73)次、(3.37±1.46)次,差异均有统计学意义(P<0.05);C组患者的不良反应发生率为8.67%,明显低于A组的21.33%与B组的16.67%,差异有统计学意义(P<0.05)。结论功能性便秘治疗中采用一次性吸痰管注入开塞露能够在一定程度上治疗便秘,同时可以缩短患者首次排便时间并增加患者的排便次数,减少操作过程中患者可能出现的肛门不适等症状,值得推广应用。
Objective To explore the nursing operation reform and effect of Kaisailu(glycerol) in the treatment of functional constipation, and provide reference for clinical practice. Methods From January 2016 to December2018, 450 patients with constipation during the hospitalization of Penpai Memorial Hospital were selected as subjects.The patients were divided into three groups, A, B, and C, by dynamic random grouping, with 150 cases in each group.Patients in group A were injected into the Kaisailu in a conventional manner, patients in group B were injected Kaisailu with a one-time catheter, and patients in group C were injected Kaisailu with a disposable suction tube. The clinical efficacy, first defecation time, number of weekly bowel movements, and adverse reactions occurred in the three groups were compared. Results The total effective rate of treatment in group C was 93.33%, which was significantly higher than76.67% in group A and 84.00% in group B(P<0.05). The first defecation time in group C was(0.52±0.43) h, which was significantly shorter than(2.21±0.98) h in group A and(1.41±0.57) h in group B(P<0.05). Before medication, there were no significant difference in the frequency of defecation per week among the three groups(P>0.05). During medication and after medication, the frequency of defecation per week in group C were(7.51±2.64) times,(4.61±1.95) times, significantly higher than(4.72±1.06) times,(2.94±1.28) times in group A and(5.94±1.73) times,(3.37±1.46) times in group B(P<0.05). The incidence of adverse reactions in group C was 8.67%, which was significantly lower than 21.33% in group A and 16.67% in group B(P<0.05). Conclusion The use of a disposable suction tube for injection of Kaisailu can treat constipation to a certain extent, shorten the patient's first defecation time and increase the frequency of defecation, and reduce the symptoms of anal discomfort that may occur during the operation, which is worth applying and promoting.
Objective To explore the nursing operation reform and effect of Kaisailu(glycerol) in the treatment of functional constipation, and provide reference for clinical practice. Methods From January 2016 to December2018, 450 patients with constipation during the hospitalization of Penpai Memorial Hospital were selected as subjects.The patients were divided into three groups, A, B, and C, by dynamic random grouping, with 150 cases in each group.Patients in group A were injected into the Kaisailu in a conventional manner, patients in group B were injected Kaisailu with a one-time catheter, and patients in group C were injected Kaisailu with a disposable suction tube. The clinical efficacy, first defecation time, number of weekly bowel movements, and adverse reactions occurred in the three groups were compared. Results The total effective rate of treatment in group C was 93.33%, which was significantly higher than76.67% in group A and 84.00% in group B(P<0.05). The first defecation time in group C was(0.52±0.43) h, which was significantly shorter than(2.21±0.98) h in group A and(1.41±0.57) h in group B(P<0.05). Before medication, there were no significant difference in the frequency of defecation per week among the three groups(P>0.05). During medication and after medication, the frequency of defecation per week in group C were(7.51±2.64) times,(4.61±1.95) times, significantly higher than(4.72±1.06) times,(2.94±1.28) times in group A and(5.94±1.73) times,(3.37±1.46) times in group B(P<0.05). The incidence of adverse reactions in group C was 8.67%, which was significantly lower than 21.33% in group A and 16.67% in group B(P<0.05). Conclusion The use of a disposable suction tube for injection of Kaisailu can treat constipation to a certain extent, shorten the patient's first defecation time and increase the frequency of defecation, and reduce the symptoms of anal discomfort that may occur during the operation, which is worth applying and promoting.
引文
[1]熊繁,王颖,黎诗祺,等.不同电流强度电针刺激效应的比较研究[J].华中科技大学学报(医学版),2014,34(5):775-781.
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[11]叶新英,吴莲香,吴有秀,等.全肠道灌洗前先用开塞露通便的临床护理研究[J].中国当代医药,2015,22(28):183-185.
[12]赵海霞,吴艳岑.一次性吸痰管灌注开塞露在老年便秘患者治疗中的效果分析[J].中国实用医药,2018,13(25):50-51.
[13]李华,孟小芬,张迪,等.复方聚乙二醇电解质散联合开塞露给药方法对结肠镜检查肠道准备的影响[J].中国内镜杂志,2018,24(10):39-43.
[14]张淑娣,彭红梅,张晓娟.一次性吸痰管在开塞露治疗脑出血患者便秘护理中的应用[J].结直肠肛门外科,2018,24(S2):229-230.
[15]WIDODO A,HEGAR B,VANDENPLAS Y.Pediatricians lack knowledge for the diagnosis and management of functional constipation in children over 6 mo of age[J].World J Clin Pediatr,2018,7(1):56-61.
[16]刘炼,刘春强.肠道菌群与功能性便秘的研究进展[J].辽宁中医杂志,2017,44(3):666-668.
[2]崔振华,吕艳锋,王建新,等.心理治疗对功能性便秘患者血清儿茶酚胺水平的影响[J].山东医药,2016,56(30):67-69.
[3]王雅丽,李月灵.精细化护理对蜜煎导方治疗大龄儿童功能性便秘的疗效改善评价[J].中国地方病防治杂志,2017,32(6):720.
[4]杨勇,丁曙晴,杨光,等.功能性便秘中医证候与症状严重度的量化研究[J].南京中医药大学学报,2015,31(1):24-27.
[5]孙启俊.开塞露与制霉菌素治疗恶性肿瘤患者口腔真菌感染效果分析[J].中华肿瘤防治杂志,2016,23(S2):79-80.
[6]宋玉磊,林征,柏亚妹.功能性便秘疗效评估指标的现状与评价[J].中国实用内科杂志,2016,36(9):813-816.
[7]周青,商洪涛,谷云飞,等.养阴润肠方治疗功能性便秘的临床疗效观察[J].中华中医药学刊,2016,34(12):2880-2882.
[8]吴云,贾成珍,黄璐,等.开塞露纳肛预防脐血移植患者肛周感染的应用研究[J].中华医院感染学杂志,2018,28(17):2603-2606.
[9]XUE Q,LI N,LIU Z,et al.Efficacy of electroacupuncture in the treatment of functional constipation:a randomized controlled pilot trial[J].Chinese Journal of Integrative Medicine,2015,21(6):459-463.
[10]BAI T,SONG C,ZHENG C,et al.Acupuncture for the treatment of functional constipation[J].Journal of Traditional Chinese Medicine,2016,36(5):578-587.
[11]叶新英,吴莲香,吴有秀,等.全肠道灌洗前先用开塞露通便的临床护理研究[J].中国当代医药,2015,22(28):183-185.
[12]赵海霞,吴艳岑.一次性吸痰管灌注开塞露在老年便秘患者治疗中的效果分析[J].中国实用医药,2018,13(25):50-51.
[13]李华,孟小芬,张迪,等.复方聚乙二醇电解质散联合开塞露给药方法对结肠镜检查肠道准备的影响[J].中国内镜杂志,2018,24(10):39-43.
[14]张淑娣,彭红梅,张晓娟.一次性吸痰管在开塞露治疗脑出血患者便秘护理中的应用[J].结直肠肛门外科,2018,24(S2):229-230.
[15]WIDODO A,HEGAR B,VANDENPLAS Y.Pediatricians lack knowledge for the diagnosis and management of functional constipation in children over 6 mo of age[J].World J Clin Pediatr,2018,7(1):56-61.
[16]刘炼,刘春强.肠道菌群与功能性便秘的研究进展[J].辽宁中医杂志,2017,44(3):666-668.