微创手术治疗泌尿系结石术前肠道准备必要性的临床研究

Clinical study on the necessity of preoperative bowel preparation for minimally invasive surgery in the treatment of urinary calculi

目的:探讨微创手术治疗泌尿系结石术前肠道准备的必要性。方法:收治微创手术治疗泌尿系结石患者2 268例,随机分为3组。观察组术前未做肠道准备,对照1组术前清洁灌肠,对照2组术前口服复方聚乙二醇电解质散,比较3组护士消耗时间、舒适度、睡眠情况、术后首次通气时间及首次排便时间。结果:观察组护士消耗时间明显短于对照1组、对照2组,差异具有统计学意义(P<0.05)。观察组舒适度明显优于对照1组、对照2组,差异具有统计学意义(P<0.01)。观察组不良反应及并发症发生率明显低于对照1组、对照2组,差异具有统计学意义(P<0.05)。观察组睡眠明显优于对照1组、对照2组,差异具有统计学意义(P<0.05)。观察组术后首次排气时间、排便时间明显短于对照1组、对照2组,差异具有统计学意义(P<0.05)。结论:微创手术治疗泌尿系结石患者不做肠道准备是安全、可行的。

Objective:To explore the necessity of preoperative bowel preparation for minimally invasive surgery in the treatment ofurinary calculi.Methods:2 268 cases of patients with urinary calculi treated with minimally invasive surgery were divided intothree groups randomly.Patients in the observation group had no bowel preparation before the operation;patients in the controlgroup 1 had preoperative cleaning enema;patients in the control group 2 took polyethylene glycol-electrolyte powder.The nursesconsumption time,comfort,sleep,postoperative first ventilation time and first defecation time of the three groups were compared.Results:The nurses consumption time of the observation group were significantly shorter than that of the control group 1 and thecontrol group 2,and the differences were statistically significant(P<0.05).The comfort degree of the observation group wassignificantly better than that of the control group 1 and the control group 2,and the differences were statistically significant(P<0.01). The adverse reaction rate and complication rate of the observation group were significantly lower than those of the controlgroup 1 and the control group 2,and the differences were statistically significant (P<0.05).The sleep of the observation group wassignificantly better than that of the control group 1 and the control group 2,and the differences were statistically significant (P<0.05).The postoperative first ventilation time and first defecation time of the observation group were significantly shorter thanthose of the control group 1 and the control group 2,and the differences were statistically significant(P<0.05).Conclusion:Non-bowel preparation was safe and feasible to the patients with urinary calculi treated with minimally invasive surgery.