Bowers Ben
Shelford Health Centre, South Cambridgeshire Primary Care Trust.
Br J Nurs. 2006;15(7):378-81. doi: 10.12968/bjon.2006.15.7.20900.
This article analyses the existing evidence surrounding the use of phosphate enemas in practice. Phosphate enemas are routinely used in a variety of clinical areas to relieve constipation or as a diagnostic bowel preparation. Yet, there is increasing uncertainty about both the medication's clinical effectiveness and its safety. There is limited evidence to suggest the product is more effective than other medications in the management of chronic constipation. However, phosphate enemas are an effective preparation for some diagnostic bowel investigations. There are also a variety of infrequently seen, but detrimental, complications specifically associated with the administration of phosphate enemas. The administration of phosphate enemas should be avoided if clients have certain underlying conditions.
本文分析了实际使用磷酸灌肠剂的现有证据。磷酸灌肠剂在各种临床领域中经常被用于缓解便秘或作为诊断性肠道准备。然而，关于该药物的临床有效性和安全性的不确定性越来越大。仅有有限的证据表明该产品在治疗慢性便秘方面比其他药物更有效。不过，磷酸灌肠剂对于一些诊断性肠道检查是一种有效的准备方法。此外，还有各种与磷酸灌肠剂给药特别相关的罕见但有害的并发症。如果患者有某些基础疾病，应避免使用磷酸灌肠剂。
