复方聚乙二醇电解质散在结肠代食管术患者术前肠道准备中的应用

Application of Compound Polyethylene Glycol Electrolyte Powder in Preoperative Preparation of Patients Undergoing Colonic Esophagectomy

【目的】探讨复方聚乙醇电解质散应用于结肠代食管术术前肠道准备的临床效果。【方法】选择本院拟行结肠代食管术患者106例为研究对象,随机分为观察组和对照组,各53例。对照组给予硫酸镁口服行肠道准备,观察组给予复方聚乙二醇电解质散行肠道准备,比较两组肠道清洁度、不良反应、并发症、患者满意度。【结果】观察组患者左半结肠、横结肠、右半结肠、整个肠腔清洁度评分均明显高于对照组(P<0.05)。观察组患者腹胀等不良反应总发生率为18.87%(10/53),明显低于对照组的43.40%(23/53)(P<0.05);观察组患者切口感染等并发症总发生率为11.32%(6/53),明显低于对照组的28.30%(15/53),且差异有显著性(P<0.05)。观察组患者满意度为96.23%(51/53),明显高于对照组的84.91%(45/53),且差异有显著性(P<0.05)。【结论】复方聚乙醇电解质散行肠道准备有助于提高结肠代食管术患者肠道清洁度,减少并发症及不良反应发生率,提高患者满意度。

【Objective】To investigate the clinical effect of compound polyethanol electrolyte powder on intestinal preparation before colon esophageal replacement.【Methods】A total of 106 patients with colon replacement esophagus was randomly divided into observation group and control group,with 53 cases in each group.The control group was given magnesium sulfate orally for intestinal preparation,and the observation group was given compound polyethylene glycol electrolyte powder for intestinal preparation.The intestinal cleanliness,adverse reactions,complications and patient satisfaction were compared between the two groups.【Results】The cleanliness scores of left colon,transverse colon,right colon and whole intestinal cavity in the observation group were significantly higher than those in the control group(P<0.05).The total incidence of abdominal distension and other adverse reactions in the observation group was 18.87%(10/53),which was significantly lower than 43.40%(23/53)in the control group(P<0.05);The total incidence of incision infection and other complications in the observation group was 11.32%(6/53),which was significantly lower than 28.30%(15/53)in the control group(P<0.05).The satisfaction of patients in the observation group was 96.23%(51/53),which was significantly higher than 84.91%(45/53)in the control group(P<0.05).【Conclusion】Compound polyethanol electrolyte powder for intestinal preparation is helpful to improve intestinal cleanliness,reduce the incidence of complications and adverse reactions,and enhance patient satisfaction.