CAJ | 학술논문

目的：探讨出一种适合腹腔镜下老年女性盆底功能障碍患者术前肠道准备的方法。方法选择2012年1月至2013年12月在重庆市妇幼保健院妇科行腹腔镜下盆底功能障碍手术患者78例，按入组先后顺序随机分成2组，A 组38例术前给予甘油灌肠剂灌肠110 mL，4次/天；B 组40例患者给予复方聚乙二醇电解质散剂(舒泰清)2~3盒口服；观察2种不同肠道准备方法对患者肠道清洁度、不良反应、舒适度以及睡眠状况。结果2组患者中 B 组在舒适度以及不良反应腹痛上均优于 A 组，差异有统计学意义（P<0.05）；2组患者中肠道清洁度、睡眠情况，差异无统计学意义（P ＞0.05）。结论老年女性盆底功能障碍患者手术前单纯服用舒泰清作为肠道准备方法，能起到清洁肠道的作用，且患者不良反应少，易于接受。
목적：탐토출일충괄합복강경하노년녀성분저공능장애환자술전장도준비적방법。방법선택2012년1월지2013년12월재중경시부유보건원부과행복강경하분저공능장애수술환자78례，안입조선후순서수궤분성2조，A 조38례술전급여감유관장제관장110 mL，4차/천；B 조40례환자급여복방취을이순전해질산제(서태청)2~3합구복；관찰2충불동장도준비방법대환자장도청길도、불량반응、서괄도이급수면상황。결과2조환자중 B 조재서괄도이급불량반응복통상균우우 A 조，차이유통계학의의（P<0.05）；2조환자중장도청길도、수면정황，차이무통계학의의（P ＞0.05）。결론노년녀성분저공능장애환자수술전단순복용서태청작위장도준비방법，능기도청길장도적작용，차환자불량반응소，역우접수。
Objective To find out a best intestinal preparative method. Methods A total of 78 patients in Chongqing health center for women and children who received pelvic floor dysfunction laparoscopic surgeryduring Jan 2012 to Dec 2013, were divided into two groups by chronologically. The 38 patients in group A took 110 mL enemia glycerini by 4 times per day and the 40 patients in group B took two or three boxes of sulfate-free polyethylene glycol electrolyte powder (Shutaiqing). The intestinal cleaness, adverse reactions, comforts and sleeps and of two kinds of intestinal preparative method in two groups were analyzed. Results Group B were superior to group A in comforts and adverse reactions. There is statistics significance in the difference intestinal preparative method (P<0.05). There is no statistics significance inintestinal cleaness and sleep aspect (P>0.05). Conclusion Taking sulfate-free polyethylene glycol electrolyte powder orally as intestinal preparation before laparoscopic pelvic floor dysfunction surgery for aged women patients can be useful for cleaning bowel and reducing adverse reactions and easily accepted.