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不同肠道准备方法对肝癌术后血清胆红素值影响的临床研究
引用本文:游雪梅,莫新少,詹爱丁,钟丽,陈似霞,陈德凤.不同肠道准备方法对肝癌术后血清胆红素值影响的临床研究[J].护理研究,2011,25(16).
作者姓名:游雪梅  莫新少  詹爱丁  钟丽  陈似霞  陈德凤
作者单位:广西医科大学第一附属医院,530021
基金项目:为山东省教育科学"十一五"规划重点课题
摘    要:目的]探讨术前不同肠道准备方法对肝癌术后血清胆红素值的影响.方法]将120例原发性肝癌病人随机分为A、B、C、D 4组,分别采用25%硫酸镁(A组)、磷酸钠盐口服溶液(B组)、聚乙二醇电解质散(C组)、乳果糖口服溶液(D组)作为肠道准备药物,每种药物分为单纯口服药物(A1、B1、C1、D1)与口服药物+清洁灌肠(A2、B2、C2、D2)两个亚组,比较各亚组术前和术后第1天、第3天、第5天、第7天血清胆红素值变化.结果]单纯口服药物亚组中,A1、B1、C1、D1组术后第7天各组间间接胆红素(IBiL)、总胆红素(TBiL)值比较差异具有统计学意义(P<0.05),A1组术后第5天IBiL值明显低于B1组(P<0.05);口服药物+清洁灌肠亚组中,术后第3天A2组胆红素值均低于B2组(P<0.05);单纯口服药物与口服药物+清洁灌肠对应的亚组术后血清胆红素值比较差异无统计学意义(P>0.05).结论]手术可致肝癌病人术后血清胆红素升高;不同药物口服+清洁灌肠对肝癌术后血清胆红素值有一定影响;应用硫酸镁行肠道准备能在一定程度上促进术后胆红素值恢复.

关 键 词:肝癌  肠道准备  胆红素  口服洗肠  清洁灌肠

Clinical study on influence of different intestinal tract preparations on serum bilirubin value in patients after undergoing liver carcinomectomy
You Xuemei,Mo Xinshao,Zhan Aiding,et al.Clinical study on influence of different intestinal tract preparations on serum bilirubin value in patients after undergoing liver carcinomectomy[J].Chinese Nursing Researsh,2011,25(16).
Authors:You Xuemei  Mo Xinshao  Zhan Aiding  
Institution:You Xuemei,Mo Xinshao,Zhan Aiding,et al(First Affiliated Hospital of Guangxi Medical University,Guangxi 530021 China)
Abstract:Objective:To probe into the influence of different intestinal tract preparations on serum bilirubin in patient safter undergoing liver carcinomectomy.Methods: A total of 120 patients with primary liver cancer were randomly divided into 4 groups and respectively received 25% magnesium sulfate(group A),sodium phosphate oral solution(group B),polyglycol-electrolyte powder(group C) and lactulose oral solution(group D) as different intestinal tract preparation regimens.Each drug was divided into two sub-groups o...
Keywords:liver cancer  intestinal tract preparation  bilirubin  oral intestinal lavage  cleansing enema  
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