口服甘露醇注射液灌肠在妇科手术中的应用

目的探讨口服甘露醇注射液灌肠在妇科手术中的应用价值和护理措施。方法通过对本院2010年6月～2011年6月120例妇科手术患者随机分为观察组和对照组各60例。观察组:术前晚17时进半流质饮食后,于18时服甘露醇注射液150ml,20min后开始口服温开水2500～3000ml,如排出大便还不干净则继续服用温开水;手术当日术晨6时用生理盐水500ml灌肠。对照组则传统的温肥皂水灌肠法。对比两组的肠道清洁度、术后排便时间。结果两组患者在肠道清洁度、控制术后排便时、清洁肠道时舒适度方面差异有统计学意义(P<0.05),观察组5d排便率为90%,对照组为26.7%;观察组肠道清洁度为100%,对照组为83.3%;观察组清洁肠道时舒适度100%,对照组为75%;观察组效果均优于对照组。结论口服甘露醇注射液灌肠在妇科手术中具有清洁肠道清洁度高、副作用少的优点,而且患者易于接受。

Objective To investigate the significance of oral mannitol injection enema in gynecologic surgery.Methods 120 cases of gynecological surgery from June 2010 to June 2011 in our hospital were randomly divided into observation group and control group.Observation group：At 17：00 of the night before surgery,patients were accepted the semi-liquid diet,18：00 accepted the mannitol of 150ml.20 minutes after oral administration of 2500-3000ml of warm water.If discharged the day of surgery,surgery stool is not clean,then continue taking warm water;enema with normal saline 500ml 6 o＇clock this morning.Control group,;acceptted the traditional warm soapy water enema.Iintestinal cleanliness,the defecation time after surgery of two groups were compared Results The intestinal cleanliness,the defecation time after surger of patients in the observation group were 90%、100%、100%,The same parts of control group were26.7%、83.3%、75%.The observation group was expressed significantly than the control group（P0.05）;the effect of the observation group were better than the control group.Conclusion It is valuable about oral mannitol injection enema in gynecologic surgery,the advantage of definite effect,and rapid recovery.