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目的探讨精密灌肠法用于治疗炎症性肠病(IBD)的效果和护理。方法收集2015年5月至2016年3月在该院治疗的IBD患者68例,按照随机数字表法分为对照组和改良组,各34例。对照组采用普通灌肠法,改良组采用精密灌肠法进行严密观察,比较两组灌肠法的观察效果,包括患者的腹痛情况、药物渗出、保留时间、大便次数、住院时间及满意度。结果改良组患者腹痛发生率[5.8%(2/34)]低于对照组[23.5%(8/34)],改良组药物无溢出,保留时间(20.3±0.3)min较对照组[(40.1±20.3)min]明显延长,操作过程中舒适度较对照组明显提升,治疗后总体满意度为100.0%,差异均有统计学意义(P<0.05)。结论一次性精密灌肠法应用于治疗IBD较普通灌肠法效果更加。
Objective To investigate the effect and nursing of the precise enema for the treatment of inflammatory bowel disease (IBD). Methods A total of 68 IBD patients treated in our hospital from May 2015 to March 2016 were collected and divided into control group and modified group according to the random number table. The control group was treated by ordinary enema. The modified group was closely observed by the precise enema method. The observation results of enema, including abdominal pain, drug exudation, retention time, stool frequency, hospital stay and satisfaction were compared between the two groups. Results The incidence of abdominal pain in the modified group was significantly lower than that in the control group [5.8% (2/34)] [23.5% (8/34)] in the modified group and in the improved group (20.3 ± 0.3) ± 20.3) min]. The comfort during operation was significantly improved compared with that of control group. The overall satisfaction after treatment was 100.0%, the difference was statistically significant (P <0.05). Conclusion One-time precision enema applied to the treatment of IBD more effective than ordinary enema.