摘要
目的探讨腹腔镜胆囊切除术患者术前使用开塞露肠道准备的必要性。方法将732例患者按排便习惯分为排便正常组和便秘组,再将两组患者按手术日期先后分为排便正常观察组188例、排便正常对照组178例和便秘观察组202例、便秘对照组164例。排便正常观察组和便秘观察组术前晚使用开塞露40 ml塞肛,排便正常对照组和便秘对照组术前不进行肠道准备。观察4组患者术后肠鸣音恢复时间、肛门排气时间、排便时间、腹胀程度及住院时间,将取得的各项资料进行分析比较。结果排便正常观察组和排便正常对照组术后各项资料比较无统计学意义,便秘观察组和便秘对照组术后各项临床资料比较有统计学意义。结论排便习惯正常患者术前可不行肠道准备;便秘患者行腹腔镜胆囊切除术前需使用开塞露进行肠道准备。
Objective To study the necessity of intestinal preparation before laparoscopic cholecystectomy by glycerine enema clyster. Method Divide 732 patients into normal defecation group and constipation group. Then divide normal defecation group into A group （n= 188） and B group （n= 178）, and constipation group into C group （n=202） and D group （n = 164）. Group A and group C as observation group receive 40ml glycerine enema clyster in the evening before operation. Group B and group D as control group receive no intestinal preparation. Observe the bowel sound recovery time, anal exsufflation time, defecation time, abdominal distension degree and hospitalization time. Analyze and compare all the information. Result There is no significant difference on all the information between two groups with normal defecation. There is significant difference on all the information between two groups with constipation. Conclusion Patients with normal defecation can receive operation without intestinal preparation. Patients with constipation need intestinal preparation before laparoscopic cholecystectomy by glycerine enema clyster.
出处
《护理与康复》
2009年第3期183-185,共3页
Journal of Nursing and Rehabilitation
关键词
腹腔镜胆囊切除术
便秘
肠道准备
开塞露
Laparoscopic cholecystectomy
Constipation
Intestinal preparation
Glycerine enema clyster
