待产妇应用改良式开塞露灌肠法的效果观察.docVIP

待产妇应用改良式开塞露灌肠法的效果观察 　　doi：10.3969/j.issn.1007-614x.2014.16.42 　　摘 要 目的：探讨待产妇应用改良式开塞露灌肠法的临床效果。方法：将60例符合灌肠指征的待产妇随机分为对照组与观察组各30例。观察组采用60ml注射器抽吸开塞露60ml，连接一次性呼吸道用吸引导管，润滑管的前端后，行小量不保留灌肠；对照组使用一次性灌肠包，温肥皂水灌肠。根据两组待产妇灌肠的舒适度、接产中有无污染，操作方便易行性，比较二组灌肠法的灌肠效果。结果：对照组灌肠液外流发生率30%，观察组3.3%，两组比较，差异有统计学意义（χ2=7.680，P0.01）；对照组排便强烈感发生率26.7%，观察组6.7%，差异具有统计学意义（χ2=4.320，P0.05）；对照组接产中排便发生率20%，观察组13.3%，差异具有统计学意义（χ2=3.256，P0.05）。结论：待产妇应用改良式开塞露灌肠法灌肠，能有效避免灌肠液的外流情况，减轻待产妇灌肠时的排便刺激感，且减少接产中排便的情况，有效避免接产中粪便污染的几率，保证良好的灌肠效果。 　　关键词 改良式开塞露灌肠 待产妇 肥皂水灌肠 　　The effect observation of application of modified glycerine enema method for expectant mother 　　Niu Jianpei 　　The Third Peoples Hospital of Zhengzhou City，Henan 450000 　　Abstract Objective：To explore the clinical effect of application of modified glycerine enema method for expectant mother.Methods：60 cases with enema indication were randomly divided into the control group and the observation group with 30 cases in each.In the observation group，we took 60ml of glycerine enema by 60ml syringe，connected with suction catheter for disposable respiratory tract.The observation group were given no retention enema after the lubrication of the front end of the pipe.The control group received warm soapy water enema using a disposable enema bag.We compared the effect of enema of the two groups according to enema comfort，with or without pollution in labor，easy and convenient.Results：In the control group，the enema spillover occurrence rate was 30%，and the observation group was 3.3%.The difference was statistically significant（χ2=7.680，P0.01）.In the control group，a strong sense of defecation occurrence rate was 26.7%，and the observation group was 6.7%.The difference was statistically significant（χ2=4.320，P0.05）.In the control group，the defecation occurrence rate in productive process was 20%，and the observation group was 13.3%.The difference was statistically significant（χ2=3.256，P0.05）.Conclusion：The application of modified glycerine enema method for expectant mother