不同肠道准备方法对膀胱癌患者术前肠道清洁效果的影响

目的探讨术前不同肠道准备方法对腹腔镜下根治性膀胱切除联合全去带乙状结肠原位新膀胱术患者肠道清洁效果的影响。方法便利抽样法选择2009年6月至2011年7月在南方医科大学珠江医院泌尿外科行腹腔镜下根治性膀胱切除联合全去带乙状结肠原位新膀胱术患者60例为研究对象,按随机数字表法将其分成对照组和观察组,每组均30例。观察组患者术前口服聚乙二醇电解质+蓖麻油后灌肠,对照组患者术前口服蓖麻油后灌肠。比较两组患者肠道的清洁度、不良反应以及患者服药依从性情况。结果与对照组比较,观察组患者肠道清洁情况较好,不良反应发生少且依从性强,差异有均有统计学意义(均P<0.05)。结论口服聚乙二醇电解质+蓖麻油后灌肠能提高患者的肠道准备效果,可减少不良反应,更有利于保证手术的顺利进行。

Effects of Different Preoperative Bowel Preparations on Intestinal Cleansing among Patients with Bladder Cancer

Objective To discuss the effects of different preoperative bowel preparations on patients with intestinal cleaning for laparoscopic radical cystectomy with complete detenial sigmoid colon orthotopic neo- bladder reconstruction. Methods From Jun. 2009 to Jul. 2011,60 patients undergoing laparoscopic radical cystectomy with complete detenial sigmoid colon orthotopic neobladder reconstruction in the hospital were randomly divided into experimental group（n= 30） and control group（n=30）. The patients in the experimental group and in the control group were administrated with polyethylene glycol electrolytes powder＋ castor oil and castor oil＋cleansing before enema respectively. The intestinal cleanliness,adverse reactions and compliance of the two groups were compared. Results Compared with the control group,significantly increased intestinal cleanliness, decreased adverse reactions and better compliance in the experimental group were observed（P~0.05）. Conclusion The bowel preparation method with polyethylene glycol electrolytes powder＋castor oil before enema can increase the intestinal cleanliness and decrease adverse reactions,which can help ensure a smooth surgery.