Curative effect and nursing care of patients with MAP complicated with paralytic intestinal obstruction treated by modified retention enema and traditional retention enema
10.3760/cma.j.issn.1672-7088.2019.20.005
- VernacularTitle: 改良保留灌肠术治疗急性胰腺炎并发麻痹性肠梗阻的护理效果研究
- Author:
Lili YE
1
;
Jinsheng ZHANG
1
;
Na YE
2
Author Information
1. Emergency Department of Queshan People′s Hospital, Zhumadian, 463200, China
2. Neonatal Intensive Care Unit of Zhumadian Central Hospital, Zhumadian 463200, China
- Publication Type:Clinical Trail
- Keywords:
Intestinal obstruction;
Enema;
Acute pancreatitis;
Jianwei Qingchang mixture
- From:
Chinese Journal of Practical Nursing
2019;35(20):1541-1544
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the curative effect and nursing care of MAP complicated with paralytic intestinal obstruction by modified retention enema and traditional retention enema.
Methods:Select Queshan People′s Hospital from May 2013 to May 2018 treated 250 cases of acute pancreatitis patients with paralytic ileus, according to random number table method to all of the patients were randomly divided into two groups, control group and test group two groups of patients were given conventional treatment nursing of acute pancreatitis, which on the basis of the control group patients give traditional retention enema treatment, while the experimental group patients give improved retention enema surgery treatment; Total enema times, liquid retention time and remission time of PI symptoms after enema were recorded for the two groups, and laboratory indicators such as comfort level, C-reactive protein level and serum creatine phosphokinase were compared between the two groups.t
Results:The comfort rate of the experimental group was 84.00% (105/125), and that of the control group was 61.60% (77/125). The difference between the two groups was statistically significant (χ2=13.034, P<0.05). After treatment, the total enema frequency, drug retention time, and PI symptom relief time were (4.10±1.23) times, (25.39±4.28) min, (2.53±0.81) d, and the control group were (6.29±2.19) times, (8.72±2.11) min, (3.92±1.23) d, the difference between the two groups was statistically significant (t=5.203, 9.349, t=5.293, both P<0.05). The levels of creatine phosphokinase in the experimental group were (87.39±76.20), (103.24±75.38), (70.92±64.22) U/L after 1, 3, and 5 days of hospitalization, and the control group was (106.28±81.29), respectively. 213.29±73.29), (175.28±58.99) U/L, the difference between the two groups was statistically significant (t=19.276, 24.334, 25.394, both P<0.05). There was no significant difference in the C-reactive protein level between the experimental group and the control group (P>0.05). The C-reactive protein levels were (11.72±2.36) and (9.52±2.17) after 3 days of hospitalization and 5 days after hospitalization, the control group were (14.02±2.37), (11.08±2.76), and the difference between the two groups was statistically significant (t=15.342, 13.029, both P<0.05).
Conclusion:Compar enema, the modified retention enema can effectively reduce the total enema times of the patients, prolong the retention time of the patients' liquid while maintaining the temperature, and greatly shorten the remission time of the patients'PI symptoms. It is worth popularizing in clinic to improve the patients' comfort, C-reactive protein, serum creatine phosphokinase and other laboratory indexes.
