CAJ | 학술논문

目的：探讨不同肠道准备方法对妇科老年手术患者肠道清洁的效果。方法根据入院时间先后次序，将64例行妇科腹部手术老年患者分为对照组和实验组，每组各32例。对照组采用0．2％肥皂水800～1000 mL灌肠，实验组口服磷酸钠盐溶液。观察两组患者肠道清洁度。结果实验组患者肠道清洁度优于对照组，两组比较，差异有统计学意义（P＜0．01）。结论口服磷酸钠盐溶液进行肠道清洁，可达到清洁肠道目的，从而保证手术效果，是妇科老年手术患者术前较理想的肠道清洁方法。
목적：탐토불동장도준비방법대부과노년수술환자장도청길적효과。방법근거입원시간선후차서，장64례행부과복부수술노년환자분위대조조화실험조，매조각32례。대조조채용0．2％비조수800～1000 mL관장，실험조구복린산납염용액。관찰량조환자장도청길도。결과실험조환자장도청길도우우대조조，량조비교，차이유통계학의의（P＜0．01）。결론구복린산납염용액진행장도청길，가체도청길장도목적，종이보증수술효과，시부과노년수술환자술전교이상적장도청길방법。
Objective To investigate the effect of different methods of intestinal preparation on intestinal cleaning for elderly gynecological patients undergoing surgery. Methods Sixty-four elderly patients undergoing gynecological surgery were divided into two groups according to admission seguence. The control group was treated with enema using 800~1000 mL 0.2%soapy water, while the experiment group was treated with enema using sodium phosphate salt oral solution mixed with 800 ~ 1000 mL 0.9% sodium chloride solution. The intestinal cleanness and enema times of the two groups were observed. Results The effect of intestinal cleanliness in the experiment group was better than that in the control group. There was significant differences between the two groups. (P<0.01). Conclusions For the elderly patients undergoing gynecological surgery, sodium phosphate salt oral solution can not only reduce the frequency of enema but also achieve the purpose of cleaning intestinal tract, to ensure the operation effect. It is the ideal method for cleaning bowels of the elderly patients in preoperative prepartion of the surgery.