复方聚乙二醇电解质在结直肠癌术前清洁肠道中的临床效果和护理探讨

目的 探讨复方聚乙二醇电解质在结直肠癌术前清洁肠道中的效果和护理方法。 方法 将外科择期行结直肠癌手术的患者65例，随机分为2组即观察组和对照组，观察组35例，其中男性17例，女性18例，患者年龄33~91岁，平均年龄(63.86±11.98)岁。对照组30例，其中男性13例，女性17例，患者年龄30~83岁，平均年龄(60.87±12.91)岁。术前清洁肠道准备时，观察组采用口服复方聚乙二醇电解质法，而对照组患者肠道准备时则采取肥皂水清洁灌肠的传统方法进行。观察并记录2组患者的接受程度、排便次数、术后排气时间、不良反应等。 结果 观察组患者完全依从率为94.3%(33例)，对照组患者接受程度为73.3%(22例)，2组比较差异有统计学意义(P＜0.05)，2组在肠道清洁效果、术后肠功能恢复时间比较差异有统计学意义(P＜0.05)。2组不良反应比较发现观察组饥饿乏力、直肠不适、睡眠干扰发生率明显少于对照组(P＜0.05)。 结论 对于外科限期行结直肠癌等手术的患者，术前清洁肠道准备时，采取口服复方聚乙二醇电解质法。与传统方法相比，具有术前准备及操作时间短、不良反应少且患者依从性较好、肠道清洁效果明显、术后肠功能恢复快等优点，并且患者对该法依从性好，对水电解质酸碱平衡影响不大，有利于患者术后机体的康复。同时护理操作简便易行，减少了护士的工作量。 

The effect and nursing methods of vompound polyethylene glycol electrolyte for preoperative bowel cleaning in patients with colorectal cancer

Objective To investigate the effect and nursing methods of compound polyethylene glycol electrolyte for preoperative bowel cleaning in patients with colorectal cancer. Methods Sixty-five cases of surgical patients with colorectal cancer were randomly divided into two groups:the observation group of 35 cases and the control group of 30 cases. The patients of the observation group aged 33- 91 years,average age(63. 86 ±11. 98) years,the control group of patients aged30-83 years old,average age(60. 87 ±12. 91) years. A compound polyethylene glycol electrolyte was used for bowel cleaning in the observation group,while 0. 2% soapsuds enema was used for bowel preparation in the control group(30cases). The degree of bowel cleaning,the degree of acceptance,the defecation times,postoperative exhaust time,and adverse reactions were observed and recorded. Results The observation group of patients got the percentage of bowel cleaning of 91. 4%(32/35),while the control group of patients 70%(21/30),the difference had statistical significance(P <0. 05); the complete compliance rate of the observation group was 94. 3%(33 cases),the control group was 73. 3%(22cases),the difference between the two groups was significant(P < 0. 05),there is also significant difference between two groups in defecation times and postoperative exhaust time. Conclusion For selective operation of colorectal cancer surgery,the polyethylene glycol electrolyte has many advantages,such as less pain,short duration of preoperative preparation,fewer complications,good bowel cleaning effect,and good patient compliance. Above all the polyethylene glycol electrolyte has a little effect on water electrolyte acid-base balance,which is beneficial to the patients' body recovery. At the same time,it is easy to operate the bowel cleaning of polyethylene glycol electrolyte and the workload of nurse is reduced largely.