改良式术前肠道准备在腹腔镜胆囊切除术中的临床研究

The clinical observation between two methods of preoperative intestinal preparation for patients with Laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术患者术前肠道准备的必要性。方法随机将200例行择期全麻腹腔镜胆囊切除术的患者分为观察组和对照组,观察组术前按改良式术前准备,对照组按常规术前准备。观察两组患者术中手术视野和术后胃肠功能恢复状态。结果两组术中医生视野满意度、术后消化道反应、腹胀程度及术后并发症发生率比较,差异无显著意义(P>0.05),观察组较对照组术后肠道功能恢复时间及住院天数均明显降低(P<0.05)。结论腹腔镜胆囊切除患者术前不行肠道准备是安全的。

Objective To study the necessity of preoperative intestinal preparation among patients needs laparoscopic cholecystectomy. Method 200 patients needs elective laparoscopic cholecystectomy under general anesthesia were randomly divide into two groups, observing group and control group. The patients in control was given routinely preoperative intestinal preparation at night before surgery and surgical morning, and the patients in observe group did nothing. The difference of operative recovery field and gastrointestinal function recovery between two groups was observed and compared. Result There are no statistically significant difference between two groups in postoperative vision satisfaction, gastrointestinal reactions and postoperative complication. The intestinal function recovery time and length of hospital stay in observe group were significantly reduced compared with the control group （P〈0.05）. Conclusion The patients without preoperative intestinal preparation for Laparoscopic eholecystectomy was safe.