大肠癌术前3种肠道准备方法的临床研究及护理

目的]观察大肠癌术前3种肠道准备方法的清洁效果、不良反应、术后恢复排便、排气的时间、术后并发症,探讨护理心得。方法]将133例大肠癌病人随机分为3组,口服磷酸钠盐口服溶液(A组)47例,口服甘露醇组(B组)41例,灌肠组(C组)45例;同时对比3种肠道准备方法病人耐受情况、肠道清洁效果、不良反应、术后并发症。结果]A组的肠道准备方法清洁度效果最佳,且耐受好,不良反应轻,术后并发症少,病人满意度高,并且节省护士工作时间。结论]磷酸钠盐口服溶液是一种安全、有效、易被病人接受的肠道准备方法。

Clinical study on three different ways of bowel preparation for colorectal cancer patients before operation and nursing care of them

Objective：To observe the cleaning effect,adverse reactions,time of postoperative defecation and evacuating recovery and postoperative complications of three different ways of bowel preparation for preoperative colorectal cancer patients and to probe into some nursing gains from learning.Methods：A total of 133 cases with colorectal cancer were randomly divided into 3 groups.Group A of 47 cases were given orally taking sodium phosphate solution.Group B of 41 cases were given orally taking mannitol.And 45 cases in group C were given cleaning enema.Then tolerance state,bowel cleansing effect,adverse effect and postoperative complications of all cases were compared.And some nursing gains from learning have summarized.Results：Patients of group A gained the most cleaning effect and tolerated well.They had less adverse reactions and less complications.And patients gained high satisfaction.It also can save working hours of nurses.Conclusion：Sodium phosphate oral solution for bowel preparation is a safe,effective,easily accepted method for patients.