改良中药保留灌肠治疗溃疡性结肠炎的临床观察及护理.docVIP

精品论文 参考文献 改良中药保留灌肠治疗溃疡性结肠炎的临床观察及护理 大庆市中医医院 163311 　　摘要：[目的]探讨改良中药保留灌肠法治疗溃疡性结肠炎（UC）的临床疗效及护理有效途径。[方法]2014年1月-2015年7月在我科治疗的溃疡性结肠炎患者中选取60名患者，随机分为2组：改良中药保留灌肠组（简称改良组）和常规中药保留灌肠组（简称常规组），30例采取改良中药保留灌肠法治疗及中医护理，30例采取传统中药保留灌肠法治疗及中医护理。[结果]改良组30例，显效18例，60%，有效10例，33.3%，无效2例，6.7%，总有效率93.3%。常规组显效10例，33.3%，有效10例，33.3%，无效5例，16.6 %，总有效率66.6%。[结论]改良中药保留灌肠法及优质的护理对溃疡性结肠炎（UC）较之常规处置方式具有良好的治疗效果。 　　关键词：方法改良；免煎中药保留灌肠；小儿肛门管；溃疡性结肠炎； 　　Abstract：[Objective]to explore the clinical curative effect and the effective way of improving the retention enema with traditional Chinese medicine in the treatment of ulcerative colitis（UC）. 　　Methods to select 60 patients[]2014 January -2015 year in July in our hospital treatment of ulcerative colitis patients，were randomly divided into 2 groups：improved retention enema with traditional Chinese medicine group（improved group）and conventional Chinese medicine retention enema group（conventional group），30 cases of modified nursing method of retention enema with traditional Chinese medicine treatment and traditional Chinese medicine.30 cases take the traditional Chinese medicine enema treatment and nursing method of traditional Chinese medicine. 　　[result]the improved group of 30 cases，markedly effective in 18 cases，60%，effective in 10 cases，33.3%，ineffective in 2 cases，6.7%，the total effective rate was 93.3%.In the conventional group，10 cases were markedly effective，33.3%，effective in 10 cases，33.3%，ineffective in 5 cases，and 16.6%，the total effective rate was 66.6%. 　　[Conclusion]the improvement of traditional Chinese medicine retention enema and high quality nursing has a good effect on the treatment of ulcerative colitis（UC）compared with the conventional treatment. 　　[keyword]method improvement；non fried traditional Chinese medicine retention enema；anal canal in children；ulcerative colitis； 　　 　　 　　溃疡性结肠炎是一种与遗传及免疫有关的非特异炎症性疾病。病变主要在于结肠的粘膜与粘膜下层，主要症状有腹泻、粘液脓血便和腹痛，病程慢长，病情轻重不一，常反复发作，其癌变率与患病时间呈正相关[1]。中药保留灌肠是目前临床上治疗慢性溃疡性结肠炎（UC）简便有效的方法之一，而要达到较为满意的治疗效果，灌肠技术的水平是关键。对于灌肠器的选