一次性胃管用于直肠癌不完全性肠梗阻患者术前肠道准备的效果观察
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摘要
目的:探讨一次性胃管用于直肠癌不完全性肠梗阻患者术前肠道准备的临床价值。方法:从笔者所在医院外科2015年2月-2018年12月收治的直肠癌患者中随机抽取不能口服泻剂的不完全性肠梗阻患者64例,分为试验组和对照组,各32例。试验组使用一次性胃管进行肠道准备,对照组使用常规灌肠法。对比两组患者肠道清洁度、耐受性和术后并发症发生率的情况。结果:试验组患者的耐受性、肠道准备的清洁度均优于对照组,术后并发症发生率低于对照组(P<0.05)。结论:一次性胃管用于直肠癌不完全性肠梗阻患者的术前准备,肠道清洁度高,患者不适感轻,术后并发症少,具有一定的临床价值。
Objective:To investigate the clinical value of bowel preparation before surgery with disposable gastric tube for patients of rectal cancer with incomplete intestinal obstruction.Method:From February 2015 to December 2018,64 patients with incomplete intestinal obstruction who couldn't take laxatives orally were randomly selected and divided into the experimental group(n=32) and the control group(n=32).Disposable gastric tube was used for bowel preparation in the experimental group,while conventional enema used in the control group.Intestinal cleaness,tolerance of patients and incidence of postoperative complications were analyzed.Result:Tolerance of patients and intestinal cleaness in the experimental group were superior to the control group,incidence of postoperative complications in the experimental group was lower than the control group(P<0.05).Conclusion:Disposable gastric tube used for patients of rectal cancer with incomplete intestinal obstruction can produce higher intestinal cleaness,milder discomfort of patients and fewer postoperative complications.It has certain clinical value.
Objective:To investigate the clinical value of bowel preparation before surgery with disposable gastric tube for patients of rectal cancer with incomplete intestinal obstruction.Method:From February 2015 to December 2018,64 patients with incomplete intestinal obstruction who couldn't take laxatives orally were randomly selected and divided into the experimental group(n=32) and the control group(n=32).Disposable gastric tube was used for bowel preparation in the experimental group,while conventional enema used in the control group.Intestinal cleaness,tolerance of patients and incidence of postoperative complications were analyzed.Result:Tolerance of patients and intestinal cleaness in the experimental group were superior to the control group,incidence of postoperative complications in the experimental group was lower than the control group(P<0.05).Conclusion:Disposable gastric tube used for patients of rectal cancer with incomplete intestinal obstruction can produce higher intestinal cleaness,milder discomfort of patients and fewer postoperative complications.It has certain clinical value.
引文
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[12]陈秀贞,黄玉莲,陈晓虹,等.改良肠道准备方法在结直肠癌术前应用的效果评价[J].海南医学,2018,29(6):887-888.
[13]牛玉玲,王静.低位直肠癌患者行miles术术前不同口服泻剂方法对患者康复影响的研究[J].中国实用医药,2018,13(31):123-124.
[2]范俊,李佽,邢莎莎,等.结直肠癌术前不同肠道准备措施对根治术后近远期预后影响分析[J/OL].中华普通外科学文献:电子版,2015,9(6):451-458.
[3] Hassan C,Bretthauer M,Kaminski M F,et al.Bowel preparation for colonoscopy:European Society of Gastrointestinal Endoscopy(ESGE)guideline[J].Endoscopy,2013,45(2):142-150.
[4] Qin Y,Liu W,Lin S,et al.Effects of first-dose volume and exercise on the efficacy and tolerability of bowel preparations for colonoscopy in Chinese people[J].Therapeutics and Clinical Risk Management,2016,12:613-616.
[5]张桃桃,叶新华,黎玲.国内结直肠癌术前肠道准备的研究进展[J].全科护理,2010,8(1):62-64.
[6]林跃纯,谢绮雯,欧阳钦.复方聚乙二醇电解质散联合开塞露灌肠在痔上黏膜环切术患者肠道准备中的应用[J].护理实践与研究,2018,15(10):60-61.
[7]沈奕,李兴华,钟捷,等.3种不同肠道准备方法清洁结肠效果的比较[J].中国临床医学,2011,2(18):193-195.
[8]李宇林,殷白漫,伍君平.改良清洁灌肠方法在结肠癌术前肠道准备中的应用[J].实用预防医学,2007,4(14):1217-1218.
[9]李敏,郑丽娟,张玲娟.结直肠外科术前肠道准备的研究进展[J].中华护理杂志,2010,45(7):670-672.
[10]邢巧英,王洁,王毅.两种结直肠癌术前肠道准备方法的效果观察[J].护士进修杂志,2013,20(28):1866-1867.
[11] Chen S L,Cai S R,Deng L,et al.Efficacy and complications of polyethylene glycols for treatment of constipation in children:a metaanalysis[J].Medicine,2014,93(16):65-75.
[12]陈秀贞,黄玉莲,陈晓虹,等.改良肠道准备方法在结直肠癌术前应用的效果评价[J].海南医学,2018,29(6):887-888.
[13]牛玉玲,王静.低位直肠癌患者行miles术术前不同口服泻剂方法对患者康复影响的研究[J].中国实用医药,2018,13(31):123-124.