多普勒超声引导下行痔动脉结扎术术前肠道准备时机探讨  

The Timing of Bowel Preparation before Doppler-Guided Hemorrhoid Artery Ligations

作　　者：尹琴[1] 黄东平[1] 沈敏[1] 张燕[1] 周庚仁[1] 

机构地区：[1]上海市普陀区人民医院普外科,上海200060

出　　处：《现代生物医学进展》2012年第24期4695-4697,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨多普勒超声引导下行痔动脉结扎术(DG-HAL)患者口服复方聚乙二醇电解质行肠道准备的时机。方法:采取前瞻性随机对照的方法,从2010年7月到2011年6月,共有120例接受DG-HAL术的痔患者被随机分成对照组和护理干预组,各60例。对照组术前1天16:00口服复方聚乙二醇电解质,实验组手术当天4:30口服复方聚乙二醇电解质,比较两种方法服药后初次排便时间、自行排便次数、大量不保留灌肠次数;患者手术前晚的食欲、睡眠情况;肠道清洁程度。结果:两组服药后初次排便时间、自行排便次数、排清水样大便时间、大量不保留灌肠次数差异无统计学意义;患者手术前晚的食欲、睡眠情况和肠道清洁程度差异有统计学意义。结论:实验组术日晨口服复方聚乙二醇电解质用于DG-HAL术术前肠道准备,手术前晚食欲、睡眠情况及肠道清洁程度均优于对照组。Objective： To investigate the timing of bowel preparation with polyethylene glycol （PEG） for Doppler-guided hemor- rhoid artery ligations. Methods： In this prospective study, from July 2010 to June 2011, 120 patients were randomly assigned to two groups （60 patients per group）： to drink PEG solution starting either at 16：00 p.m. before the operation day （control group） or at 4：30 a.m. （experimental group） on the operation day. The primary outcome measure was the time of initial defecation, the numbers of defecation, the numbers of large non-preserved enema, the patient＇s appetite, the situation of sleep, and the bowel cleanliness. Results The time of initial defecation, the times of defecation, and the numbers of non-preserved enema was not different between groups. In the experimental group, the patient＇s appetite, the situation of sleep, and the bowel cleanliness were higher than that of the control group. Conclusion： To use the PEG at 4：30 a.m. on the operation day, the patient＇s appetite, the situation of sleep, and the bowel cleanliness was higher than that of using the PEG at 16：00 p.m. before the operation day.

关 键 词：痔 肠道准备 复方聚乙二醇电解质 DG-HAL术 

分 类 号：R473.6[医药卫生—护理学]