改良开塞露纳肛法在腰椎术后合并便秘患者的应用研究

发布时间：2018-01-30 10:12

本文关键词： 便秘开塞露纳肛腰椎术后护理　出处：《锦州医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的探讨在腰椎术后合并便秘患者使用改良开塞露纳肛法促进排气、排便的效果。方法收集2015年1月至2016年1月在锦州医科大学附属第一医院骨脊柱病区入院进行腰椎手术,术后合并便秘的患者82例,按入院行腰椎手术先后顺序随机分组,单号为对照组,双号为观察组。对照组患者使用传统开塞露纳肛法治疗,观察组患者使用改良开塞露纳肛法(用50ml注射器抽吸开塞露,注射器乳头端连吸痰管,进行纳肛)。比较两组患者首次排气时间、首次排便时间、解便率及腹胀、肛门出血、药液外溢情况之间差异。结果1、首次排气时间:观察组首次排气时间为(23.96±2.06)min,对照组(34.28±4.28)min,两组之间的差异具有统计学意义(P0.05);2、首次排便时间:观察组首次排便时间为(26.83±2.14)min,对照组(56.29±4.18)min,两组间差异有统计学意义(P0.05);3、解便率:治疗后,观察组解便率80.49%,对照组解便率29.26%,两组患者解便率间差异具有统计学意义(P0.05);4、干预后症状分析:治疗后,观察组腹胀1人,肛门出血0人,对照组腹胀3人,肛门出血1人,两组患者在术后干预症状间差异具有统计学意义(P0.05)。5、药液外溢发生情况:治疗后,观察组药液外溢2人,对照组药液外溢5人,两组患者间差异具有统计学意义(P0.05)。结论1、改良开塞露纳肛法能够加速腰椎术后合并便秘患者排气;2、改良开塞露纳肛法能够加速腰椎术后合并便秘患者排便;3、改良开塞露纳肛法在于腰椎术后合并便秘患者解便率的治疗效果明显好于对照组患者;4、改良开塞露纳肛法治疗腰椎术后患者便秘的效果好于传统开塞露纳肛法治疗,值得在临床推广应用。
[Abstract]:Objective to investigate the patients with constipation improved enema into anus exhaust in the method to promote the postoperative lumbar, defecation effect. Methods from January 2015 to January 2016 in the First Affiliated Hospital of Jinzhou medical university hospital ward spine lumbar spine surgery, and constipation in patients with 82 cases, according to the admission of lumbar operation were randomly grouped into control number group, even as the observation group. The control group was treated with traditional enema into anus treatment, patients in the observation group using a modified method of enema into anus (with 50ml syringe suction syringe nipple end Enema Glycerini, sputum suction tube for anus). Compared two groups of patients with the first exhaust time, first defecation time, defecation rate and abdominal distension the anus, bleeding, the difference between the overflow. The 1, the first exhaust time: in the observation group, the first exhaust time was (23.96 + 2.06) min, the control group (34.28 + 4.28) min, between the two groups The difference was statistically significant (P0.05); 2, the first defecation time of the observation group was the first defecation time for (26.83 + 2.14) min, the control group (56.29 + 4.18) min, there were statistically significant differences between the two groups (P0.05); 3, the solution rate: after treatment, the observation group defecation rate was 80.49%, control group defecation rate was 29.26%, two groups of patients with differences between solution rate with statistical significance (P0.05); 4, prognostic analysis of stem symptoms: after treatment, the observation group anal bleeding abdominal distension 1 people, 0 people, 3 people in control group, abdominal distension, anal bleeding of 1 people, in two groups of patients with postoperative symptoms of the difference between the intervention with statistical significance (P0.05).5, the overflow occurred: after the treatment, the observation group 2 overflow, the overflow control group 5, two groups had significant difference (P0.05). Conclusion: 1, improved enema into anus exhaust in patients with constipation and can accelerate postoperative lumbar; 2, modified glycerine therapeutic method can accelerate postoperative anus After the merger of defecation in patients with constipation; 3, improved enema into anus is complicated with constipation after lumbar surgery patients defecation rate was significantly better than the control treatment group; 4, improved enema into anus treatment of patients with constipation after lumbar surgery is better than traditional enema into anus treatment, it is worthy of clinical application.

【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.6

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