中文摘要：

目的探讨运用改良灌肠方法配合腹部环形按摩治疗多发性骨髓瘤患者化疗期间并发便秘的疗效。方法将98例在化疗期间发生便秘的多发性骨髓瘤患者随机分为实验组51例和对照组47例,实验组采用福尔特输液器连接16号导尿管,配合患者做腹部环形按摩来解决患者便秘,对照组采用一次性灌肠袋灌肠。比较两组患者在便秘时采用不同灌肠方式时的灌肠效果和患者对灌肠的耐受度。结果两组灌肠效果比较差异有高度统计学意义（P〈0.01）,两组灌肠过程中患者对灌肠的耐受度比较差异有高度统计学意义（P〈0.01）。结论应用改良大量不保留灌肠方法配合患者腹部环形按摩,能够提高多发性骨髓瘤患者的灌肠效果,增加多发性骨髓瘤患者对灌肠的耐受程度。

英文摘要：

Objective To explore the use of improved enema combining with abdominal circular massage in the treatment of multiple myeloma patients during chemotherapy concurrent constipation.Methods 98 cases of multiple myeloma patients during chemotherapy with constipation were randomly divided into experiment group of 51 cases,control group of 47 cases.The experiment group used the infusion linked anal coordinated with abdominal ring massage to resolve constipation,while the control group used disposable enema bag enema.Compare the enema effect and patients tolerance.Results The enema effect difference between the two groups was statistically significant（P〈0.01）.The difference of tolerance between the two groups in the enema process was significant（P〈0.01）.Conclusion The use of improved enema combining with abdominal circular massage not only can improve the enema effect of multiple myeloma patients,but also can increase the tolerance.