中药保留灌肠结合体位护理治疗直肠炎的护理体会(1)
[摘要] 目的 探讨中药保留灌肠结合体位护理治疗直肠炎的临床效果。方法 方便择取2017年1月—2018年9月该院68例行中药保留灌肠治疗的直肠炎患者，依据体位不同分为实验组(改良灌肠体位，34例)和对照组(传统灌肠体位，34例)，对比观察两组护理干预前后中医症候评分改善情况，评价护理干预效果。结果 实验组干预总有效率(97.06%)高于对照组(82.35%)，差异有统计学意义(χ2=5.714，P<0.05);实验组干预后中医症候腹泻(1.3±0.6)分，腹痛(1.0±0.3)分，黏脓血便(0.8±0.4)分，均优于对照组(t=3.617，3.375，3.268;P<0.05)。结论 中药保留灌肠治疗直肠炎效果确切，结合改良体位护理能更好的提高干预效果，加速患者中医症候改善，提高治疗效果，应用安全有效，值得临床推广。
[关键词] 直肠炎;中药保留灌肠;改良体位护理;干预效果;护理体会
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2019)07(a)-0135-03
Nursing Experience of Traditional Chinese Medicine Retention Enema Combined with Body Position Treatment for Proctitis
MAO Hong-xia
Department of Surgery， Yangzhong City Hospital of Jiangsu Province， Yangzhong， Jiangsu Province， 212200 China
[Abstract] Objective To investigate the clinical effect of traditional Chinese medicine retention enema combined with body position treatment for proctitis. Methods From January 2017 to September 2018， 68 patients with proctitis treated with traditional Chinese medicine retention enema were conveniently selected in the hospital. They were divided into experimental group (improved enema position， 34 cases) and control group (traditional enema position， 34 cases)， compare the observation of the improvement of TCM symptom scores before and after the two groups of nursing interventions， and evaluate the effect of nursing intervention. Results The total effective rate of the experimental group (97.06%) was higher than that of the control group (82.35%). The difference was statistically significant (χ2=5.714， P<0.05). After the intervention of the experimental group， the symptoms of Chinese medicine diarrhea (1.3±0.6)points， abdominal pain (1.0±0.3) points， pus and bloody stools (0.8±0.4) points， were better than the control group (t=3.617， 3.375， 3.268; P<0.05). Conclusion Chinese medicine retention enema is effective in the treatment of proctitis. Combined with improved positional care， it can improve the intervention effect， accelerate the improvement of TCM symptom and improve the therapeutic effect. The application is safe and effective and worthy of clinical promotion.
[Key words] Proctitis; Traditional Chinese medicine retention enema; Improved position nursing; Intervention effect; Nursing experience
直腸炎是指各种病因所致直肠急慢性炎症，其中慢性直肠炎多由急性迁延而来，目前西医临床尚无该病特效治疗方法，主要参考炎症性肠病，予以病因及对症治疗，但收效欠理想[1]。在中医学领域，直肠炎归属“痢疾”“泄泻”范畴，研究历史悠久，最早可追溯至秦汉时期。中药保留灌肠是现代临床中医治疗直肠炎的常用方法，为了保证药液与病灶充分接触，灌肠后予以患者合适体位十分必要[2]。文章现以2017年1月—2018年9月该院68例直肠炎患者为例，分析探讨中药保留灌肠联合不同体位护理干预直肠炎的临床效果，报道如下。, 百拇医药(毛红霞)
[关键词] 直肠炎;中药保留灌肠;改良体位护理;干预效果;护理体会
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2019)07(a)-0135-03
Nursing Experience of Traditional Chinese Medicine Retention Enema Combined with Body Position Treatment for Proctitis
MAO Hong-xia
Department of Surgery， Yangzhong City Hospital of Jiangsu Province， Yangzhong， Jiangsu Province， 212200 China
[Abstract] Objective To investigate the clinical effect of traditional Chinese medicine retention enema combined with body position treatment for proctitis. Methods From January 2017 to September 2018， 68 patients with proctitis treated with traditional Chinese medicine retention enema were conveniently selected in the hospital. They were divided into experimental group (improved enema position， 34 cases) and control group (traditional enema position， 34 cases)， compare the observation of the improvement of TCM symptom scores before and after the two groups of nursing interventions， and evaluate the effect of nursing intervention. Results The total effective rate of the experimental group (97.06%) was higher than that of the control group (82.35%). The difference was statistically significant (χ2=5.714， P<0.05). After the intervention of the experimental group， the symptoms of Chinese medicine diarrhea (1.3±0.6)points， abdominal pain (1.0±0.3) points， pus and bloody stools (0.8±0.4) points， were better than the control group (t=3.617， 3.375， 3.268; P<0.05). Conclusion Chinese medicine retention enema is effective in the treatment of proctitis. Combined with improved positional care， it can improve the intervention effect， accelerate the improvement of TCM symptom and improve the therapeutic effect. The application is safe and effective and worthy of clinical promotion.
[Key words] Proctitis; Traditional Chinese medicine retention enema; Improved position nursing; Intervention effect; Nursing experience
直腸炎是指各种病因所致直肠急慢性炎症，其中慢性直肠炎多由急性迁延而来，目前西医临床尚无该病特效治疗方法，主要参考炎症性肠病，予以病因及对症治疗，但收效欠理想[1]。在中医学领域，直肠炎归属“痢疾”“泄泻”范畴，研究历史悠久，最早可追溯至秦汉时期。中药保留灌肠是现代临床中医治疗直肠炎的常用方法，为了保证药液与病灶充分接触，灌肠后予以患者合适体位十分必要[2]。文章现以2017年1月—2018年9月该院68例直肠炎患者为例，分析探讨中药保留灌肠联合不同体位护理干预直肠炎的临床效果，报道如下。, 百拇医药(毛红霞)