慢性肾脏病保留灌肠方法的改进

邓孝陵 钟 海 冯 静

·临床护理·

慢性肾脏病保留灌肠方法的改进

邓孝陵 钟 海 冯 静

DENGXiaoling,ZHONGHai*,FENGJing.

Improvement on retention enema methods for patients with chronic kidney diseases

DepartmentofNephrology,Pu'aiHospitalAffiliatedtoTongjiMedicalCollege,HuazhongUniversityofScienceandTechnology,Wuhan430034,China.

*CorrespondingAuthor

Objective To explore the improvement on retention enema for patients with chronic kidney diseases (CKD). Methods Eighty CKD patients to receive retention enema treatment were randomly divided into an experimental group and a control group, 40 cases in each group. The experimental group was given disposable double-chamber gasbag ureters for the treatment of retention enema, which has been improved on intubation depth and other detaisl. While the control group were carried out the treatment with the conventional method of retention enema. Then the enema time and drug retention time, as well as the serum urea nitrogen (BUN), creatinine (SCr) and uric acid(UA) before and after the treatment in the two groups were recorded. Results Compared with the control group, the enema time of the experimental group was significantly shorter, but the drug retention time was significantly longer. After the treatment, BUN, SCr and UA in the experimental group were lower than that in the control group. Conclusion Using disposable double-chamber gasbag ureters for retention enema, combined with improvement in the intubation depth and other details, can significantly prolong drug retention time in intestine and improve the curative effect.

Chronic kidney disease (CKD) ; Retention enema

目的 改进慢性肾脏病保留灌肠方法。 方法 将80例需保留灌肠治疗的慢性肾脏病患者随机分为对照组和观察组各40例。对照组常规保留灌肠法灌肠，实验组采用一次性双腔气囊尿管进行保留灌肠，改进插管深度和方法。比较2组患者灌肠时间、药物保留时间、治疗前后血清尿素氮、肌酐、尿酸等变化。 结果 实验组较对照组灌肠时间短，保留时间长。实验组治疗后血清尿素氮、肌酐、尿酸均低于对照组。 结论 采用一次性双腔气囊尿管进行保留灌肠改进灌肠方法，可明显延长药物在肠内停留时间。

肾脏病；保留灌肠

武汉市卫计委科研项目(编号:WG13C07)

430034 武汉，华中科技大学同济医学院附属普爱医院肾内科

钟海，E-mail：642096687@qq.com

内科护理

10.3969/j.issn.1674-3768.2016.01.006