中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
20期
23-25
,共3页
结肠肿瘤%可行性研究%肠道准备
結腸腫瘤%可行性研究%腸道準備
결장종류%가행성연구%장도준비
Colonic neoplasms%Feasibility studies%Bowel preparation
目的 研究结肠癌术前不行机械性肠道准备的可行性.方法 将68例结肠癌患者按随机数字表法分成观察组和对照组,每组34例,观察组不行机械性肠道准备给予助便,对照组口服聚乙二醇电解质散行肠道准备,观察两组术前不良反应,水、电解质代谢紊乱情况,术中肠道清洁度及术后肠鸣音恢复时间、首次排气时间等.结果 观察组术前腹胀、腹痛、恶心、呕吐、饥饿感、无力虚脱的总不良反应发生率为20.6％(7/34),显著低于对照组的52.9％(18/34),差异有统计学意义(P＜0.01)；观察组水、电解质代谢紊乱发生率为5.9％(2/34),与对照组的11.8％(4/34)比较差异无统计学意义(P＞0.05)；观察组术中肠道清洁度Ⅰ、Ⅱ、Ⅲ、Ⅳ级分别为0、16、18、0例,对照组分别为18、12、4、0例,两组比较差异有统计学意义(P＜0.01).观察组术后肠胀气发生率、肠鸣音恢复时间、首次排气时间分别为11.8％(4/34)、(61.2±5.6)h、(74.0±7.5)h,显著优于对照组的32.4％(11/34)、(72.1±5.8)h、(87.0±9.5)h,差异有统计学意义(P＜0.05).结论 结肠癌术前可不行机械性肠道准备.
目的 研究結腸癌術前不行機械性腸道準備的可行性.方法 將68例結腸癌患者按隨機數字錶法分成觀察組和對照組,每組34例,觀察組不行機械性腸道準備給予助便,對照組口服聚乙二醇電解質散行腸道準備,觀察兩組術前不良反應,水、電解質代謝紊亂情況,術中腸道清潔度及術後腸鳴音恢複時間、首次排氣時間等.結果 觀察組術前腹脹、腹痛、噁心、嘔吐、饑餓感、無力虛脫的總不良反應髮生率為20.6％(7/34),顯著低于對照組的52.9％(18/34),差異有統計學意義(P＜0.01)；觀察組水、電解質代謝紊亂髮生率為5.9％(2/34),與對照組的11.8％(4/34)比較差異無統計學意義(P＞0.05)；觀察組術中腸道清潔度Ⅰ、Ⅱ、Ⅲ、Ⅳ級分彆為0、16、18、0例,對照組分彆為18、12、4、0例,兩組比較差異有統計學意義(P＜0.01).觀察組術後腸脹氣髮生率、腸鳴音恢複時間、首次排氣時間分彆為11.8％(4/34)、(61.2±5.6)h、(74.0±7.5)h,顯著優于對照組的32.4％(11/34)、(72.1±5.8)h、(87.0±9.5)h,差異有統計學意義(P＜0.05).結論 結腸癌術前可不行機械性腸道準備.
목적 연구결장암술전불행궤계성장도준비적가행성.방법 장68례결장암환자안수궤수자표법분성관찰조화대조조,매조34례,관찰조불행궤계성장도준비급여조편,대조조구복취을이순전해질산행장도준비,관찰량조술전불량반응,수、전해질대사문란정황,술중장도청길도급술후장명음회복시간、수차배기시간등.결과 관찰조술전복창、복통、악심、구토、기아감、무력허탈적총불량반응발생솔위20.6％(7/34),현저저우대조조적52.9％(18/34),차이유통계학의의(P＜0.01)；관찰조수、전해질대사문란발생솔위5.9％(2/34),여대조조적11.8％(4/34)비교차이무통계학의의(P＞0.05)；관찰조술중장도청길도Ⅰ、Ⅱ、Ⅲ、Ⅳ급분별위0、16、18、0례,대조조분별위18、12、4、0례,량조비교차이유통계학의의(P＜0.01).관찰조술후장창기발생솔、장명음회복시간、수차배기시간분별위11.8％(4/34)、(61.2±5.6)h、(74.0±7.5)h,현저우우대조조적32.4％(11/34)、(72.1±5.8)h、(87.0±9.5)h,차이유통계학의의(P＜0.05).결론 결장암술전가불행궤계성장도준비.
Objective To study the feasibility of no preoperative mechanical bowel preparation for the colon cancer resection.Methods Sixty-eight patients with colon cancer were divided by random digits table method into observation group and control group with 34 cases each.Patients in observation group were treated without mechanical bowel preparation,while control group received polyethylene glycol electrolyte received bowel preparation.The preoperative symptoms,water and electrolyte disturbance,intraoperative intestinal cleaning,recovery time of intestinal sound and the first exhaust time of two groups were observed.Results The overall adverse reaction incidence of abdominal distension,abdominal pain,nausea,vomit,hunger,powerless and collapse in observation group [20.6％(7/34)] was significantly lower than that in control group [ 52.9％( 18/34 ) ] (P ＜ 0.01 ).The incidence of water and electrolyte disturbance in observation group was 5.9％ (2/34),which had no significant difference compared with that in control group [11.8％(4/34)](P＞0.05).The case numbers of patients with intestinal cleaning grade Ⅰ,Ⅱ,Ⅲ and Ⅳ in observation group were 0,16,18,0 case,respectively,which were significantly less than those in control group [ 18,12,4,0 case] (P ＜ 0.01 ).The incidence of postoperative intestinal inflation,recovery time of intestinal sound and first exhaust time in observation group [ 11.8％(4/34 ),(61.2 ± 5.6) h,(74.0 ± 7.5 ) h ]were significantly lower or shorter than those in control group [ 32.4％ ( 11/34),(72.1 ± 5.8 ) h,(87.0 ± 9.5 )h](P＜ 0.05 ).Conclusion Mechanical bowel preparation before colon cancer surgery can be cancelled.
