摘要
目的:比较2种导管不同的保留灌肠法对肝性脑病患者的临床效果。方法对2012年1月~2013年10月入住我院25例符合肝性脑病的临床诊断标准的患者,随机分为对照组和实验组,每组25例,每组均先予清洁灌肠后再予保留灌肠。对照组采取普通肛管保留灌肠,实验组气囊导尿管保留灌肠,观察并比较两组灌肠液在肠腔内保留时间、临床治疗效果、治疗前后的血氨水平、患者的不适反应、肠液溢出率、肛管滑脱率、患者满意度及护士操作难易度。结果药液在肠内存留时间及药物临床疗效,血氨下降程度,实验组高于对照组;药液外溢,肛管滑脱率,护士操作难易度,对照组高于实验组;患者满意度,实验组优于对照组。结论气囊导尿管灌肠法优于传统肛管灌肠法,值得推广使用。
Objective:To compare the clinical ef ect of the patients with hepatic encephalopathy of retention enema with two dif erent catheter.Method:randomly divide the 50 patients,which are admit ed to our hospital from January 2011 to June 2013,and consistent with the clinical diagnostic criteria of hepatic encephalopathy,into control group and experimental group respectively.Each includes 25 samples,and both are trackled by cleaning enema,and then by retention enema.Common anus enema is adopted for the control group,and foley catheter enema is used for the other group.Terms such as the enema retention time in the intestinal cavity,clinical therapeutic ef ect,the change of blood ammonia level,the discomfort reaction of patients,intestinal fluid overflow rate,anal slippage rate,patient satisfaction and the level of dif iculty to the nurse operation,were observed and compared.Result:the experimental group outperform the control group in terms of the enema retention time,clinical therapeutic ef ect,the reduction degree of blood ammonia level and patient satisfaction.Whereas,the control group outperform the experimental group in other aspects.Conclusion:the method of foley catheter enema is bet er than the traditional common anus enema,and therefore is worth popularizing.
作者
徐晖葵
吴英
杨莎
XU Hui-kui;WU Ying;YANG Sha(Chongqing Southwest Hospital,Chongqing 400038,China)
关键词
气囊尿管
肝性脑病
保留灌肠
Bal oon catheter
Hepatic encephalopathy
Retention enema
