摘要
目的探讨解除急性心肌梗死（AMI）患者便秘的方法，以降低AMI并发症的再发生率。方法将49例AMI便秘患者随机分为对照组21例和观察组28例，对照组先予开塞露40ml直接纳肛协助通便．效果不佳者再采用0．1％-0．2％软皂水500ml低压灌肠；观察组采用改良灌肠法，即用50ml注射器抽吸20％盐水30ml＋开塞露液20ml连接一次性吸痰管经肛门插入至18cm处给药，比较两组的排便疗效和AMI并发症的再发生率。结果开塞露液直接纳肛法、软皂水低压灌肠法和改良灌肠法的排便有效率分别为38％、43％和96％；观察组诱发AMI并发症的再发生率显著低于对照组（P〈0．05）。结论改良灌肠法可降低AMI并发症的再发生率，值得临床推广应用。
Objective To investigate the method to prevent the constipation complication with acute myocardial infarction, and reduce the reappearance rate. Methods 49 patients had been dividatur to control group and experiment group. The patients of control group are used the direct purgation, and experiment group had received improved hypoclysis. Results The effective power of control group is 38% and experiment group is 96%. the reappearance rate of experiment group is significant improvement. Conclusion It is obvious that the improved hypoclysis to prevent the constipation complication with acute myocardial infarction, reduce the death rate of constipation.
出处
《中国实用医药》
2009年第20期36-37,共2页
China Practical Medicine
