辰时中药保留灌肠对盆腔炎性疾病患者药物保留时间及舒适度的影响

目的探讨辰时中药保留灌肠对盆腔炎性疾病后遗症（PIDS）患者药物保留时间的影响。方法将60例PIDS患者按随机数字表法分为实验组和对照组各30例。实验组于辰时（7：00～9：00），对照组于常规时间（戌时，19：00～21：00）进行中药保留灌肠，比较两组患者灌肠前排便率、灌肠前后便意感及保留时间。结果两组患者灌肠前便意感程度比较，差异无统计学意义（z=-0．561，P〉0．05）；灌肠后实验组出现便意感192例，对照组302例，两组比较差异有统计学意义（z=-5．968，P〈0．01），实验组药物保留时间平均（13．425±5．362）h，对照组平均（9．303±2．695）h，两组比较差异有统计学意义（t=-20．200，P〈0．01）。结论根据子午流注理论，辰时进行灌肠可有效提高药物在肠道内的保留时间．减轻患者的便意感。

Research on the retention time of retention enema of Chinese Traditional Herbs at chen shi in patients with pelvic inflammatory disease

Objective To investigate the impact on the retention time of retention enema at chen shi in patients with sequelae of pelvic inflammatory disease. Methods 60 residential patients （from May 2009 to June 2010） with pelvic inflammatory disease were randomly divided into observation group and control group based on table of random number, each group had 30 cases. The observation group practiced enema at 7：00 -9：00 comparing with the control group at routine time（ 19：00 -21：00）. Investigate the percentage of bowel movement before enema, the feeling of bowel movement and the retention time. Results The times of appearance and the degree of feeling of defecation is significantly lower in observation group than that in control group after enema （Z= -5. 968,P 〈0. 01）, there were no differences before enema（Z = -0. 561,P 〉0. 05） ; The media retention time is （13. 425 ± 5. 362）h in observation group comparing with （9. 303 ± 2.695 ）h in control group, the difference is significant （ t = - 20. 200,P 〈 0. 01 ）. Conclusions Retention enema at Chen Shi can increase the retention time and alleviate awareness of defecation.