灌肠在胸外科术前准备中的应用

目的　探讨灌肠在胸外科术前准备中的应用价值。方法　选择 2 0 0 3年 2月至 2 0 0 4年 1月接受肺切除手术患者 96例 ,随机分为试验组和对照组 ,每组各 48例。对照组采用常规胸外科手术术前准备 ;试验组在常规术前准备的基础上 ,术前晚以洁达甘油灌肠剂 110ml灌肠。统计术后 3d内出现腹胀、便秘人数 ,统计学方法采用 χ2 检验。结果　试验组术后出现腹胀 2例 (4 .17% ) ,便秘 3例 (6.2 5 % )。对照组术后腹胀 10例 (2 0 .83 % ) ,便秘 11例 (2 2 .92 % )。两组比较差异有显著性 (P <0 .0 5 )。结论　对于胸部手术病人 ,术前灌肠可有效地减少术后腹胀、便秘 ,有利于患者术后恢复 ,具有一定的应用价值。

The significance of enema in preoperative preparation of thoracic surgery

Objective To investigate the value of enema in preoperative preparation of thoracic surgery.Methods 96 patients accepted a pulmonary resection,from February 2003 to January 2004,were randomly divided into two groups (control group and trial group).The routine preoperative preparations of thoracic surgery was performed in control group,however,110 patients in trial group,based on the preparation of control group,were performed by enemas.The cases of abdominal distension and constipation were counted and analyzed by statistics method.Results In trial group,abdominal distension occurred in 2 patients (4.17%),constipation occurred in 3 patients (6.25%).In control group,abdominal distension occurred in 10 patients (20.83)%),constipation occurred in 11 patients (22.92%). There was a significant difference between two groups (P<0.05).Conclusion Enemas is an effective method to decrease postoperative abdominal distension and constipation in thoracic surgery.