标题：功能性便秘治疗中开塞露使用护理操作改革与使用效果分析

      作者：潘月枝 1，邱婷 1，许宇静 2    海丰县彭湃纪念医院骨科 1、ICU2，广东 海丰 516400

      卷次： 2019年30卷8期

      【摘要】 目的 探讨开塞露使用护理操作改革与使用对功能型便秘的治疗效果，为临床提供参考依据。方法 选择2016年1月到2018年12月在海丰县彭湃纪念医院住院期间出现便秘需要使用开塞露的患者450例作为研究对象。通过动态化随机分组的方法，将患者分为A、B、C三组，每组150例。A组患者采用常规方式开塞露直接注入，B组患者采用一次性导尿管注入开塞露，C组患者采用一次性吸痰管注入开塞露。比较三组患者的临床疗效、首次排便时间、每周排便次数以及不良反应发生情况。结果 C组患者的治疗总有效率为 93.33%，明显高于A组的76.67%和B组的84.00%，差异均有统计学意义(P<0.05)；C组患者的首次排便时间为(0.52±0.43) h，明显短于A组的(2.21±0.98) h和B组的(1.41±0.57) h，差异均有统计学意义(P<0.05)；用药前，三组患者每周排便次数比较差异均无统计学意义(P>0.05)；用药中及用药后，C组患者的每周排便次数分别为(7.51±2.64)次、(4.61±1.95)次，明显多于A组的(4.72±1.06)次、(2.94±1.28)次和B组的(5.94±1.73)次、(3.37±1.46)次，差异均有统计学意义(P<0.05)；C组患者的不良反应发生率为8.67%，明显低于A组的21.33%与B组的16.67%，差异有统计学意义(P<0.05)。结论 功能性便秘治疗中采用一次性吸痰管注入开塞露能够在一定程度上治疗便秘，同时可以缩短患者首次排便时间并增加患者的排便次数，减少操作过程中患者可能出现的肛门不适等症状，值得推广应用。
      【关键词】 功能性便秘；开塞露；护理；不良反应；排便
      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2019）08—1086—03

Nursing operation reform and effect of Kaisailu (glycerol) in the treatment of functional constipation.
PANYue-zhi 1, QIU Ting 1, XU Yu-jing 2. Department of Orthopedics 1, ICU 2, Penpai Memorial Hospital, Haifeng 516400,Guangdong, CHINA
【Abstract】 Objective To explore the nursing operation reform and effect of Kaisailu (glycerol) in the treat-ment of functional constipation, and provide reference for clinical practice. Methods From January 2016 to December2018, 450 patients with constipation during the hospitalization of Penpai Memorial Hospital were selected as subjects.The patients were divided into three groups, A, B, and C, by dynamic random grouping, with 150 cases in each group.Patients in group A were injected into the Kaisailu in a conventional manner, patients in group B were injected Kaisailuwith a one-time catheter, and patients in group C were injected Kaisailu with a disposable suction tube. The clinical effi-cacy, first defecation time, number of weekly bowel movements, and adverse reactions occurred in the three groups werecompared. Results The total effective rate of treatment in group C was 93.33%, which was significantly higher than76.67% in group A and 84.00% in group B (P<0.05). The first defecation time in group C was (0.52±0.43) h, which wassignificantly shorter than (2.21±0.98) h in group A and (1.41±0.57) h in group B (P<0.05). Before medication, there wereno significant difference in the frequency of defecation per week among the three groups (P>0.05). During medicationand after medication, the frequency of defecation per week in group C were (7.51±2.64) times, (4.61±1.95) times, signifi-cantly higher than (4.72±1.06) times, (2.94±1.28) times in group A and (5.94±1.73) times, (3.37±1.46) times in group B(P<0.05). The incidence of adverse reactions in group C was 8.67%, which was significantly lower than 21.33% in groupA and 16.67% in group B (P<0.05). Conclusion The use of a disposable suction tube for injection of Kaisailu can treatconstipation to a certain extent, shorten the patient's first defecation time and increase the frequency of defecation, and re-duce the symptoms of anal discomfort that may occur during the operation, which is worth applying and promoting.
      【Key words】 Functional constipation; Kaisailu (glycerol); Nursing; Adverse reactions; Defecation·护理·doi:10.3969/j.issn.1003-6350.2019.08.038基金项目：广东省汕尾市科技计划项目(医药卫生) (编号：20150020)