不同插管深度对药物灌肠治疗放射性直肠炎效果影响.docVIP

不同插管深度对药物灌肠治疗放射性直肠炎效果的影响 　　[摘要] 目的 分析探讨不同的插管深度对药物灌肠治疗放射性直肠炎临床治疗效果的实际影响。方法 选取该院2013年1―6月所收治的40例放射性直肠炎患者为研究对象，并按照年龄、病程等指标将其平均分为观察组和对照组，每组20例患者。其中在临床治疗中，对照组采取采取常规的方法对患者进行灌肠，并插入导管为15～20 cm；观察组则采取减少插管深度的方法，并让患者采取半俯卧位以及半坐卧位交替的姿势，就患者这两种姿势保留药液进行灌肠治疗。两组患者灌肠之后药物均要保留2 h以上，观察影响的效果。 结果 观察组治疗的总有效率为90.0%，高于对照组的65.0%。两组患者的治疗有效率等，差异有统计学意义（P0.05）。 结论 在治疗放射性直肠炎患者的过程中，采用减少插管长度灌入药液，并让患者保持半俯卧位和半坐卧位交替的姿势保留药液，效果更加显著，药物也能更长时间停留于患者的病变部位。这种治疗方法值得广泛推广。 　　[关键词] 插管深度；药物灌肠；放射性直肠炎 　　[中图分类号] R818 [文献标识码] A [文章编号] 1674-0742（2014）10（b）-0047-02 　　Effects of Different Depth of Cannula in Drug Enema on Radiation Proctitis 　　QIU Yajing 　　First Hospital Affiliated to University of South China， Hengyang， Hunan Province， 420001， China 　　[Abstract] Objective To analyze and explore the actually clinical effect of different depth of cannula in drug enema on radiation proctitis. Methods 40 cases with radiation proctitis admitted in our hospital from January 2013 to June 2013 were selected as the subjects and equally divided into the observation group and the control group with 20 cases in each according to age， course of disease and other indexes. In clinical treatment， the control group was given routine method of drug enema， the catheter was inserted 15～20 cm， and the observation group was given the drug enema by the method of reducing the depth of the inserted catheter， and the patients took semipronation and semi Fowlers position alternately for retaining the liquid drug. Two groups of patients had to retain the drug over 2h after the drug enema， and the effect was observed. Results The total effective rate of the observation group was 90.0%， higher than 65.0% of the control group， the difference in the total effective rate was statistically significant （P0.05）. Conclusion Drug enema given to radiation proctitis patients by reducing the length of intubation， and retaining the liquid drug by semipronation and semi Fowlers position alternately， the treatment effect will be better， and the drug can be