直肠:常识和插入方式
K H Abd-el-Maeboud1, T el-Naggar, E M el-Hawi
1Ain Shams University Hospitals, Cairo, Egypt.
Lancet (London, England)
|September 28, 1991
概括
大多数人错误地插入直肠假药,先用尖端. 研究表明,插入 suppositories 头先改善保留和减少驱逐,使其成为更有效的直肠头插入方法.
科学领域:
- 药理学 药理学是指药理学的学科.
- 胃肠病学 胃肠病学
- 患者教育 患者教育
背景情况:
- 直肠支架是一种常见的药物输送系统.
- 典型的形状具有尖的顶部和的底部.
- 缺乏关于最佳的假肢插入技术的信息.
研究的目的:
- 调查直肠体插入的常见实践.
- 为了比较顶部第一和底部第一假药插入的疗效.
- 提供基于证据的推,用于剂的管理.
主要方法:
- 对360名非专业人士和260名医务人员进行了关于插入偏好的问卷调查.
- 一项比较性研究评估了基于插入方向的100名受试者 (成人和儿童) 的假药保留和驱逐率.
- 数据分析侧重于常见的插入实践,偏好原因和临床结果.
主要成果:
- 压倒性地,无论是非专业的受试者还是医疗人员都更喜欢顶部先插入,理由是常识和先前信息.
- 假设的保留是显著更容易与基础第一插入 (98%的成功率).
- 基础第一插入需要更少的数字操作 (1% vs. 83%) 并导致更低的驱逐率 (0% vs. 3%).
结论:
- 目前用于直肠体插入的常见做法是不理想的.
- 有证据支持以基点为先插入,以提高疗效和患者舒适度.
- 应更新患者和医疗教育,以反映基于证据的辅食器给药技术.
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