护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2015年
7期
8-9,10
,共3页
结肠造口关闭手术%肠道准备%复方聚乙二醇电解质散
結腸造口關閉手術%腸道準備%複方聚乙二醇電解質散
결장조구관폐수술%장도준비%복방취을이순전해질산
Colostomy closure surgery%Bowel preparation%Polyethylene glycol electrdyte powder compound
目的：：探讨复方聚乙二醇电解质散在小儿结肠造口关闭手术前肠道准备中的应用效果。方法：将60例结肠造口术后拟行造口关闭手术的患儿随机等分为试验组和对照组，试验组采用术晨(术前6 h)口服复方聚乙二醇电解质散溶液的方法进行肠道准备，对照组采用术前晚(术前12 h)、术晨(术前1~2 h)自结肠造口近端各回流洗肠1次的方法进行肠道准备，比较两组患儿造口近端肠道清洁度、依从性及不良反应发生情况。结果：试验组造口近端肠道清洁度明显优于对照组(P <0.05)，依从性高于对照组(P <0.05)。试验组出现口服困难4例，其中2例出现恶心、呕吐；对照组出现剧烈哭闹、活动11例，其中因剧烈哭闹导致造口近端黏膜损伤出血3例，延期手术1例(大量出汗后上感发热)，呕吐1例。结论：口服复方聚乙二醇电解质散溶液用于小儿结肠造口关闭手术前肠道准备的效果满意，依从性好，但少数患儿存在难以进食、呕吐等不良反应，在肠造口患儿中的应用还有待进一步研究。
目的：：探討複方聚乙二醇電解質散在小兒結腸造口關閉手術前腸道準備中的應用效果。方法：將60例結腸造口術後擬行造口關閉手術的患兒隨機等分為試驗組和對照組，試驗組採用術晨(術前6 h)口服複方聚乙二醇電解質散溶液的方法進行腸道準備，對照組採用術前晚(術前12 h)、術晨(術前1~2 h)自結腸造口近耑各迴流洗腸1次的方法進行腸道準備，比較兩組患兒造口近耑腸道清潔度、依從性及不良反應髮生情況。結果：試驗組造口近耑腸道清潔度明顯優于對照組(P <0.05)，依從性高于對照組(P <0.05)。試驗組齣現口服睏難4例，其中2例齣現噁心、嘔吐；對照組齣現劇烈哭鬧、活動11例，其中因劇烈哭鬧導緻造口近耑黏膜損傷齣血3例，延期手術1例(大量齣汗後上感髮熱)，嘔吐1例。結論：口服複方聚乙二醇電解質散溶液用于小兒結腸造口關閉手術前腸道準備的效果滿意，依從性好，但少數患兒存在難以進食、嘔吐等不良反應，在腸造口患兒中的應用還有待進一步研究。
목적：：탐토복방취을이순전해질산재소인결장조구관폐수술전장도준비중적응용효과。방법：장60례결장조구술후의행조구관폐수술적환인수궤등분위시험조화대조조，시험조채용술신(술전6 h)구복복방취을이순전해질산용액적방법진행장도준비，대조조채용술전만(술전12 h)、술신(술전1~2 h)자결장조구근단각회류세장1차적방법진행장도준비，비교량조환인조구근단장도청길도、의종성급불량반응발생정황。결과：시험조조구근단장도청길도명현우우대조조(P <0.05)，의종성고우대조조(P <0.05)。시험조출현구복곤난4례，기중2례출현악심、구토；대조조출현극렬곡료、활동11례，기중인극렬곡료도치조구근단점막손상출혈3례，연기수술1례(대량출한후상감발열)，구토1례。결론：구복복방취을이순전해질산용액용우소인결장조구관폐수술전장도준비적효과만의，의종성호，단소수환인존재난이진식、구토등불량반응，재장조구환인중적응용환유대진일보연구。
Objective:To observe the effect of peros polyethylene glycol electrolyte powder compound for pediatric bowel preparation before colostomy clo-sure. Methods:60 cases before colostomy closure were randomly divided into control group and experimental group. The experimental group drunk the solu-tion 6 hours before the operation,while the control group got two times of intestinal lavage (12 hours and 1 hour before the operation) from the near - end of the colostomy mouth. Compared the cleanliness of the near - end of the colostomy mouth, obedience and untoward effect. Results:The experimental group got much better cleanliness (P < 0. 05) and further obedience (P < 0. 05) than control group. The experimental group came out 4 cases of oral difficulty, control group. With 11 cases of acute crying and action,among 11 cases,there were 3 cases of mucosal injury,1 case of operation delaying,1 case of emesis. Conclusion:The effect and obedience of drinking the solution before colostomy closure is satisfactory. However,minority got untoward effect such as oral diffi-culty,emesis. It is still need futher study.
