| Objective To explore the best temperature and speed of the Traditional Chinese Medicine retention enema in ulcerative colitis patients.Methods In this study, a single-blind randomized controlled clinical intervention, were randomly divided 88 patients into four groups according to different retention enema temperature and speed. Group 1,10-14 ml/min,37.038.9℃,in the intervention process set off one case remained 21 cases. Group 2,15-20ml/min,37.0-38.9℃ set off three case, remained 19 cases. Group3,10-14ml/min,39.0-41.0℃ set off two case, remained 20 cases. Group 4,15-20ml/min, 39.0-41.0℃, set off two case, remained 20 cases. Twelve days are a course of observation. We monitored the Mayo score, TCM syndrome curative effect scale, before and after the clinical trial, valuated the Hospital Anxiety Depression Scale (HADS) through the trial, valuated liquid retention time, liquid spillover, abdominal distension, abdominal pain, borborygmus, palpitation and shortness of breath, downfallen pressure feeling at anus, the appetency of defecating and dyssomnia.Results In the Mayo score and TCM syndrome curative effect through treatment, differences do not have statistical significance (P>0.05). In liquid retention time, groupl [(10.95±2.27) hours] and group3 [(9.68±2.22) hours] are longer than group2 [(7.92±2.84) hours], group2 is longer than group4 [(6.71±1.77) hours], differences have statistical significance (P<0.05). The retention time has a negative correlation between HADS scores. Pearson correlation coefficients are -0.337 and -0.380. Group3 and group4 have high scores in abdominal pain (P<0.05). Group2 and group4 have high scores in the appetency of defecating after enema (P<0.05). Differences are all statistically significant.Conclusions To ulcerative colitis with Wet aggregates pixu (spleen deficient) certificate, 37.0-38.9℃ and 10-14ml/min are the better choices. We also need to pay attention to the patient’s psychological counseling and self-management. |
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