恒康正清在妇科手术前肠道准备中的应用

Hengkangzhengqing for preoperative bowel cleaning in gynecological surgery

目的研究恒康正清口服灌肠剂在妇科手术前肠道准备中的应用,评价其耐受性及临床效果。方法我院妇科从2004年11月～2005年1月共有50例患者行妇科手术前接受恒康正清口服灌肠剂进行肠道准备。平均年龄51.2岁(29～75岁)。其中普通手术组16例,阴式手术组20例,恶性手术组14例。同期常规手术口服甘露醇行肠道准备10例为对照。术前1日给予恒康正清(甘露醇)口服,观察记录口服恒康正清过程中有无不适反应评价其耐受性。根据患者末次排便或灌肠排出物的性状及术中肠管胀气情况评判肠道准备的满意程度。术后观察患者有无腹胀,术后排气时间评价术后患者恢复情况。结果50例患者中,18例(36%)患者出现恶心、呕吐、腹痛、腹胀反应,但程度均较轻,患者可以耐受,未影响术前准备及手术。口服恒康正清普通手术组与对照组相比患者平均排便次数分别为6.0次和3.4次,两者比较差异有显著性,普通手术组满意率为81.3%,阴式手术满意率为95.0%。恶性手术组满意率为85.7%。普通手术组术后平均排气时间为40.5h,阴式手术组为48.0h,恶性手术组为73.7h,前两组差异无显著性,但与恶性手术组相比差异有显著性。对照组平均排气时间为31.2h,与普通手术组相比差异无显著性。结论恒康正清口服肠道准备患者耐受性好,准备效果及术后患者恢复与甘露醇相比差异无显著性,适合妇科常用的手术前准备。

Objective To explore the application Hengkangzhengqing for preoperative bowel cleaning in the gynecological surgery, and evaluate its effect and side - effect. Methods Fifty women, age from 29 - 75 years （mean 51.2 years）, orally took Hengkangzhengqing for preoperative bowel cleaning from December 2004 to January. 2005 in our department. Thev were divided into 3 groups according to procedure： 16 in ordinary surgery, 20 vaginal surgery, and 14 malignant surgery. During the same period, 10 cases of ordinary surgery served as control, Hengkangzhengqing was Wen one day before operation. Its effects and side- effects were observed peri - operatively. Results Eighteen out of the 50 （ 36% ） presented mild anti tolerable dissomforts. The satisfactory rates were not significant different among the three groups or among the test and control groups. Conclosions Hengkangzhengqing can obtain satisfactor）. effect for preoperative bowel cleaning in gynecological surgery and is well tolerable. Hengkangzhengqing can be used before all kinds of gynecological surgery.