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目的为探讨更简单实用的治疗便秘的方法。方法笔者从2008至2009年对56例内科老年便秘患者使用开塞露通便进行临床观察。结果有26例患者直接使用开塞露后能顺利排便,30例反复使用开塞露效果不理想,25例排出少量粪便,5例只排出注入的药液。对30例通便效果不理想的患者,通过运用小量不保留灌肠方法,将开塞露药液注入直肠后,全部患者能顺利排便。结论开塞露作为润滑性通便药,直肠给药后,通过药物刺激直肠壁,引起排便反射,同时因药液对大便的润滑作用,对轻度便秘患者可起到快速通便作用。若将原有包装的开塞露加以改进,可使开塞露的应用更为广泛,在临床上可减轻护理工作量及患者的经济负担。现将体会及改进建议报道如下。
Objective To explore a more simple and practical method of treating constipation. Methods From 2008 to 2009, the author of 56 cases of senile constipation in patients with the use of Kai Lair laxative clinical observation. RESULTS: Twenty-six patients were able to defecate directly after using Kaifenglu, 30 cases of Kaifenglu repeated use were not satisfactory, a small amount of excretion was found in 25 cases and only 5 cases were discharged. 30 cases of laxative effect in patients with unsatisfactory, by using a small amount of non-retention enema, the Kaiser solution into the rectum, all patients can successfully defecation. Conclusion Kaiseru as a lubricative laxative drug, rectal administration, rectal wall through the drug stimulation, causing defecation reflex, at the same time due to the liquid on the stool lubrication, mild constipation patients can play a role in rapid catharsis. If the original package Kai Cypriot to be improved, can make open Cypriot exposed more widely used in clinical care can reduce the workload and the economic burden on patients. Now experience and suggestions for improvement are reported below.