不同体位灌肠.docVIP

江苏大学继续教育学院 毕 业 论 文 论文题目：不同体位保留灌肠治疗溃疡 性结肠炎患者疗效的比较 专 业： 护理学 姓 名： 学 号： 教 学 点： 联系方式： 1 不同体位保留灌肠治疗溃疡性结肠炎患者疗效的比较 徐州市中医院消化科 梁婉君 摘要 目的 探讨侧卧位和膝胸卧位中药保留灌肠法治疗溃疡性结肠炎在肠道内保留时间的长短，从而判定其疗效。方法 采取前瞻性随机对照方法，对76例溃疡性结肠炎患者给予积极对症治疗的基础上，将患者随机平均分为侧卧位中药保留灌肠38例，膝胸卧位中药保留灌肠38例。观察药物肠道保留时间，灌入量及治疗效果。结果 膝胸卧位中药保留灌肠总有效率为94.74%，侧卧位治疗总有效率为78.95%。膝胸卧位组保留时间大于侧卧位组，膝胸卧位组灌入量大于侧卧位组。结论 采取膝胸卧位中药保留灌肠能够使药液更足量，更长时间在肠道内停留，明显提高了治疗效果，值得临床推广应用。 关键词：保留灌肠；体位；侧卧位；膝胸卧位 Different positions to retain efficacy in the treatment of patients with ulcerative colitis enema Digestive department of Xuzhou Hospital of Traditional Chinese Medicine Liang Wan Jun Abstract: Objective Discussion on the left lateral decubitus position and knee chest position of Chinese medicine retention enema for ulcerative colitis retention time in the intestine length, so as to determine its effect. Methods Take the prospective randomized control method, base to give a positive symptomatic treatment for 76 cases of patients with ulcerative colitis, patients were randomly divided into the left lateral decubitus position retained enema 38 cases, knee chest decubitus retention enema with traditional Chinese medicine in 38 cases. To observe the retention time of drug intestinal, irrigation quantity and the therapeutic effect. Results Knee chest position Coloclysis of total efficiency is 94.74%, the left lateral decubitus position for the total efficiency is 78.95%. Knee chest decubitus group retention time is larger than the left decubitus group, knee chest decubitus group into larger than left decubitus group. Conclusion Take a knee chest decubitus retention enema with traditional Chinese medicine can make the solution more adequate, more time to stay in the intestine, improve the treatment effect, it is worthy of clinical application. Key words: retention enema; position; left-lateral position; genucubital position 溃疡性结肠炎(ulcerative co