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目的:探讨改进后的保留灌肠方法对提高溃疡性结肠炎疗效的临床价值。方法:将156例溃疡性结肠炎患者按住院先后顺序分为对照组和实验组,各组均为78例。对照组采用常规保留灌肠方法,实验组采用改进后的保留灌肠方法,治疗15 d为1个疗程。第1个疗程结束后,回顾性比较两组平均每次灌肠液保留时间、平均每次灌肠液外溢例数及治疗效果。结果:平均每次灌肠液保留时间实验组明显长于对照组(P<0.01),平均每次灌肠液外溢例数实验组明显少于对照组(P<0.01),完全缓解率、总有效率实验组均明显高于对照组(P<0.05或P<0.01)。结论:对溃疡性结肠炎患者在常规保留灌肠方法基础上,改进灌肠液量及灌肠液温度、肛管插入深度,并采取先清洁灌肠后保留灌肠,能明显延长灌肠液保留时间、减少灌肠液外溢,从而提高保留灌肠效果。
Objective: To investigate the clinical value of improved retention enema in improving the curative effect of ulcerative colitis. Methods: 156 cases of ulcerative colitis patients were divided into control group and experimental group according to the order of hospitalization, each group was 78 cases. The control group was treated by conventional reservation enema method, and the experimental group was treated with the modified retention enema method. The treatment for 15 days was a course of treatment. After the first course of treatment, the average retention time of each enema in each group was compared retrospectively with the average number of cases of spilled liquid and the therapeutic effect. Results: The average retention time of each enema was significantly longer in the experimental group than in the control group (P <0.01). The average number of cases of spongy fluid leakage in the experimental group was significantly less than that of the control group (P <0.01), complete remission rate and total effective rate Group were significantly higher than the control group (P <0.05 or P <0.01). Conclusion: The patients with ulcerative colitis in the conventional retention enema on the basis of improved enema volume and enema temperature, anal canal depth, and to take the first clean enema retention enema, can significantly prolong enema retention time, reduce enema Spill, thereby increasing retention enema effect.