妇科腹腔镜术前3种肠道清洁方法比较

Cleaning effects of three enema preparations before laparoscopic operation in gynecology

目的探讨妇科腹腔镜术前3种肠道清洁的效果比较。方法将300例妇科腹腔镜手术患者随机分为口服聚乙二醇电解质组(A组)100例,口服20%甘露醇+清洁灌肠组(B组)100例和口服50%硫酸镁+清洁灌肠组(C组)100例,统计不良反应发生率、排便情况和术后第1次排气、排便时间。结果A组不良反应发生率15%,低于B组(32%)和C组(36%)(P<0.05);B组排便次数多于A组和C组(P<0.05);A组术后第1次排气、排便时间显著低于B组和C组(P<0.05)。结论聚乙二醇电解质散溶液用于妇科腹腔镜术前肠道准备效果理想,不良反应少且术后排气排便快。

Objective To compare the cleaning effects of 3 enema preparations before laparoscopic operation in gynecology.Methods Three hundred patients who were going to undergo laparoscopic operation in gynecology were randomly divided into group A undergoing enema with oral polyethylene glycol electrolyte powder（n=100）,group B undergoing enema with oral mannitol（n=100）,and group C undergoing enema with oral magnesium sulfate（n=100）.Adverse reaction rate,defecation frequency,first defecation and exsufflation time of the patients were recorded after operation.Results The adverse reaction rate was lower in group A（15%） than in groups B（32%） and C（36%）,the number of defecation frequencies was greater in group B than in groups A and C,and the first exsufflation and defecation time were lower in group A than in groups B and C after operation（P0.05）.Conclusion Polyethylene glycol electrolyte solution can be used in preparation of bowls before laparoscopic operation in gynecology with a satisfactory cleaning effect,few adverse effects,and an exsufflation-promoting effect.