三种肠道清洁方法在腹式全子宫切除术中的应用及效果比较  

Application of three intestinal cleansing methods in transabdominal hysterectomy and comparison of its effect

作　　者：刘晓芳[1] 王正英[1] 陈慧玲[1] 徐巧林[1] 

机构地区：[1]深圳市西乡人民医院,广东深圳518102

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2011年第2期7-8,共2页Journal of Qilu Nursing

摘　　要：目的:探讨三种肠道清洁方法在妇科腹式全子宫切除术中的应用效果。方法:将90例腹式全子宫切除术患者随机分为A、B、C三组各30例,A组采用0.2%肥皂水清洁灌肠,B组口服甘露醇,C组口服蓖麻油。观察、比较三组肠道清洁效果、患者依从性、肛门排气时间、不良反应、进食情况等。结果:B组和C组在肠道清洁效果、患者依从性方面与A组比较差异有统计学意义(P<0.01,P<0.05),C组在术后肛门排气时间、不良反应、进食情况方面与B组比较差异有统计学意义(P<0.01,P<0.05)。结论:口服蓖麻油用于肠道清洁的综合效果满意,患者易于接受,值得临床推广。Objective：To explore the application effect of three intestinal cleansing methods in transabdominal hysterectomy.Methods： 90 patients with transabdominal hysterectomy were randomly divided into A,B,C groups（30 cases for each group）.The patients in the group A received cleansing enema of 0.2% soapsuds;the patients in the group B were given mannitol orally and the patients in the group C had oral castor oil.The intestinal cleaning effect,patient＇s compliance,anal exhaustion time,side effects and appetite were observed and compared among the three groups.Results： The differences of the intestinal cleaning effect and patient＇s compliance in the group B and C were statistically significant compared with the group A（P0.01,P0.05）;the comparison of anal exhaustion time,side effects and appetite was significantly different between the group C and Group B（P0.01,P0.05）.Conclusions：The comprehensive effect of taking castor oil orally was satisfactory in the intestinal cleansing and it is more acceptable,the method can be widely used in clinical practice.

关 键 词：肠道清洁 腹式全子宫切除术 肥皂水清洁灌肠 甘露醇 蓖麻油 

分 类 号：R473.71[医药卫生—护理学]