术前减免清洁灌肠对妇科腹腔镜手术效果的影响分析  

Effect of Reducing and Cleansing Enema before Operation on Gynecological Laparoscopic Surgery

作　　者：钟斐[1] 张秋霞 郭晓黎 高丽萍[1] ZHONG Fei;ZHANG Qiuxia;GUO Xiaoli;GAO Liping(Department of TCM Gynecology,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou,Fujian Province,362000 China)

机构地区：[1]泉州市中医院中医妇科,福建泉州362000

出　　处：《中外医疗》2023年第1期49-52,共4页China & Foreign Medical Treatment

基　　金：泉州市科技计划项目(2019N066S)。

摘　　要：目的探究术前减免清洁灌肠在妇科腹腔镜手术中的应用效果。方法随机选取2019年1月—2021年3月泉州市中医院100例择期接受妇科腹腔镜手术治疗的患者进行前瞻性随机平行对照研究,按随机数字表法分成观察组和对照组,每组50例。两组均行妇科腹腔镜手术,对照组术前接受清洁灌肠,观察组术前减免清洁灌肠。对比两组肠管情况、围术期指标、术后血电解质及大便培养异常情况、术前及术后首次排便时肠道菌群指标(双歧杆菌、乳酸杆菌、葡萄球菌)变化、术后并发症发生率。结果两组肠管情况比较,差异无统计学意义(Z=0.804,P=0.422)。观察组术后排气时间、首次排便时间、住院时间均较对照组短,差异有统计学意义(P<0.05)。两组术后血电解质及大便培养异常情况比较,差异无统计学意义(P>0.05)。术后首次排便时,观察组双歧杆菌、乳酸杆菌水平较对照组高,葡萄球菌水平较对照组低,差异有统计学意义(P<0.05)。观察组并发症总发生率8.00%(4/50)与对照组14.00%(7/50)比较,差异无统计学意义(χ^(2)=0.919,P=0.338)。结论妇科腹腔镜手术患者术前减免清洁灌肠有助于优化围术期指标,对肠道菌群影响小,可降低并发症发生风险。Objective To explore the effect of reducing and cleansing enema in gynecological laparoscopic surgery.Methods A prospective randomized parallel controlled study was conducted on 100 patients who received gynecologi⁃cal laparoscopic surgery at Quanzhou Traditional Chinese Medicine Hospital from January 2019 to March 2021.They were divided into an observation group and a control group using a random number table method,with 50 patients in each group.Both groups underwent gynecological laparoscopic surgery,while the control group received clean enema before surgery,while the observation group received reduced clean enema before surgery.Compared the intestinal con⁃dition,perioperative indicators,postoperative blood electrolyte and stool culture abnormalities,changes in gut micro⁃biota indicators(Bifidobacterium,Lactobacillus,Staphylococcus)during the first bowel movement before and after sur⁃gery,and the incidence of postoperative complications between the two groups.Results There was no statistically sig⁃nificant difference between the two groups in terms of intestinal condition(Z=0.804,P=0.422).The observation group had shorter postoperative exhaust time,first bowel movement time,and hospitalization time compared to the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the abnormal blood electrolytes and stool culture between the two groups after surgery(P>0.05).At the first postoperative bowel movement,the levels of bifidobacteria and lactobacilli in the observation group were higher than those in the control group,while the levels of Staphylococcus were lower than those in the control group,and the difference was sta⁃tistically significant(P<0.05).The total incidence of complications in the observation group was 8.00%(4/50),which compared to the control group of 14.00%(7/50),and the difference was not statistically significant(χ2=0.919,P=0.338).Conclusion In gynecological laparoscopic surgery patients,the reduction of cleaning

关 键 词：腹腔镜手术 清洁灌肠 妇科 肠道功能 

分 类 号：R4[医药卫生—临床医学]