摘要
目的观察比较结直肠手术患者采用结肠水疗和常规术前肠道准备的效果。方法选择100例择期行结直肠手术患者,随机分为常规灌肠组(A组)和结肠水疗组(B组)各50例。B组采用HC23000型全自动肠道水疗仪,术前下午反复灌洗10-15次,约45min;术晨再用温盐水灌肠一次。A组应用温盐水于术前当晚和术晨各灌洗5-6次和2-3次。评估患者对灌肠舒适满意程度,术中观察肠道清洁程度以及术后肠蠕动恢复时间等。结果平均每例灌肠时间A组和B组分别为(96±17)min和(43±7)min;肠道清洁程度:A组优良率为37．2％,B组优良率为95．3％;术后肠蠕动恢复时间A组和B组分别为(83±11)h和(76±12)h。结论与常规灌肠组相比,术前采用结肠水疗的方法行清洁灌肠,不仅具有简便省时,清洁更彻底、减轻护士劳动量等优点,而且还有利于术后肠道功能恢复,减少患者总体费用。
Objective To assess the different effects of intestinal hydrotherapy and the conventional enema on colorectal preoperative preparations.Methods 100 patients undergoing elective operation were randomly divided into two groups： the conventional enema group （group A） and the intestinal hydrotherapy group （group B）, with 50 in each group.Group B were subjected to enema repeatedly 10 to 15 times with type HC23000 complete automatic intestinal hydrotherapy instrument.It took about 45 min in the afternoon just before the operation day and 500ml 0.9% NaCA hydro-solution in the morning of the operation day. The patients in group A were subjected to enema with 0.9% NaCA hydrosolution 5 to 6 times in the evening before the operation and 2 or 3 times in the morning of the operation day. The intestinal sanitary degree, and the time of the recovery of intestinal wriggle were assessed. Results The average enema time for each case was （96±17） min in group A, and （43±7） min in group B. The intestinal sanitary degree was 34%in group A and 90% in group B. The time of the recovery of intestinal wriggle was （83±11） h in group A and （76±12） h in group B. Conclusion Compared with the conventional enema the preoperative intestinal hydrotherapy is a simple and saving-time procedure, it can clean the intestine more thoroughly, and also contributes to the recovery of intestinal wriggle.
出处
《实用医药杂志》
2006年第8期915-916,共2页
Practical Journal of Medicine & Pharmacy
关键词
结直肠手术
结肠水疗
术前准备
疗效
Colorectomy Intestinal hydrotherapy Preoperative preparation Curative effect
