术前清洁灌肠对选择性胸腰椎手术患者术后便秘的影响

Effects of Preoperative Cleaning Enema on Postoperative Constipation in Patients Receiving Selec- tive Thoracolumbar Operation

目的探讨术前清洁灌肠对选择性脊柱手术患者术后发生便秘的影响。方法选择择期进行胸腰椎手术的非瘫痪患者205例,排除其他引起便秘的因素,随机分成两组:术前灌肠组103例;非灌肠组102例;统计术后便秘的发生率。结果灌肠组仅12例发生便秘,未灌肠组30例发生便秘,两组差异显著(P<0.01),并且灌肠组术后便秘再处理较非灌肠组简便。结论术前常规清洁灌肠可明显减少脊柱手术患者术后便秘的发生。

Objective To investigate the effects of preoperative cleaning enema on postoperative constipation of patients who received selective thoracolumbar operation. Methods With other factors causing constipation adjusted,205 non-paralytic patient who received thoracolumbar operation were divided into two groups at random. 103 patients were given an preoperative enema, while the other 102 patients were not given an preoperative enema. The incidences of constipation were analyzed statistically. Results Constipation occurred in 12 patients of the preoperative enema group, and in 30 patients of the non-enema group ( P <0. 01). Moreover, it was more convenient to treat constipation in the preoperative enema patients than in the non-enema patients. Conclusion Preoperative cleaning enema is an effective way of reducing postoperative constipation in patients who received spinal operation.