CAJ | 학술논문

目的：探讨不同肠道清洁方法对腹腔镜腹膜阴道成形术肠道准备的效果。方法按不同肠道准备方法将100例患者分为试验组和对照组，每组各50例。试验组患者术前口服磷酸钠盐溶液45 mL，对照组患者术前给予番泻叶30 g开水焗服和清洁灌肠。观察两组患者肠道清洁满意度、不良反应发生情况、手术时间和术后排气时间。结果试验组患者不良反应发生率低于对照组；肠道清洁满意度优于对照组；术后排气时间较对照组提前，两组比较，差异均有统计学意义（P＜0.05）。结论在腹腔镜腹膜阴道成形术肠道准备中采用磷酸钠盐口服溶液，提高了患者肠道清洁度，降低了患者肠道不良反应的发生，促进了患者术后排气时间，提高了术后患者肠道动能的恢复，是腹腔镜腹膜阴道成形术术前理想的肠道清洁方法。
목적：탐토불동장도청길방법대복강경복막음도성형술장도준비적효과。방법안불동장도준비방법장100례환자분위시험조화대조조，매조각50례。시험조환자술전구복린산납염용액45 mL，대조조환자술전급여번사협30 g개수국복화청길관장。관찰량조환자장도청길만의도、불량반응발생정황、수술시간화술후배기시간。결과시험조환자불량반응발생솔저우대조조；장도청길만의도우우대조조；술후배기시간교대조조제전，량조비교，차이균유통계학의의（P＜0.05）。결론재복강경복막음도성형술장도준비중채용린산납염구복용액，제고료환자장도청길도，강저료환자장도불량반응적발생，촉진료환자술후배기시간，제고료술후환자장도동능적회복，시복강경복막음도성형술술전이상적장도청길방법。
Objective To investigate the effect of different intestinal cleaning methods on bowel preparation for laparoscopic peritoneal vaginoplasty.Methods One hundred patients undergoing laparoscopic peritoneal vaginoplasty were divided into experiment group and control group with 50 cases in each group .For bowel preparation,the experiment group was managed with oral sodium phosphate salt solution of 45 mL and the control group with oral senna leaf of 30 g in boiled water.The two groups were compared in terms of intestinal cleaning degree,adverse reactions and postoperative exhaust time.Results The incidence of adverse reactions in the former group was significantly lower than the control group.Degree of bowel cleaning satisfaction was significantly better than that of the control group and the postoperative exhaust was significantly earlier than that in the control group(P<0.05).Conclusion The method of oral sodium phosphate salt solution for bowel preparation for laparoscopic peritoneal vaginoplasty can improves the intestinal cleanliness,reduce incidence of intestinal adverse reaction and promote postoperative exhaust so that it can improve postoperative intestinal restoration of kinetic energy.