84家医院泌尿外科手术前肠道准备现况调查

Investigation of preoperative bowel preparation for urological surgery in 84 hospitals

目的:调查我国泌尿外科手术前肠道准备现状,为促进加速康复外科护理中肠道准备管理工作的进一步优化提供方向和参考依据。方法:2022年11月1日至2023年3月1日,采用便利抽样法,选取全国84家医院作为研究对象,采用自行设计的泌尿外科手术患者术前肠道准备现状调查问卷进行调查。结果:采用机械性肠道准备比例较高的泌尿系统手术为前列腺穿刺术(81.0%),膀胱肿瘤根治术(78.6%),前列腺癌根治术(70.2%),最低的是输尿管结石手术(35.7%)。对于大部分泌尿外科手术,三级甲等医院采取机械性肠道准备的比例显著高于非三级甲等医院(P<0.05)。肠道准备不良反应排名前3位的是腹胀(31.1%)、睡眠影响(27.4%)、恶心(14.7%)。结论:泌尿外科手术前肠道准备仍以机械性肠道准备为主,不同泌尿外科手术、不同等级医院对于术前肠道准备方式的选择存在差异,未来应在患者安全的前提下,进一步推广非机械性肠道准备在泌尿外科手术中的应用,以促进患者的快速康复。

Objective:To investigate the current status and adverse reactions of preoperative bowel preparation for urological surgery in China,and to provide reference for further optimization of intestinal preparation management in ERAS nursing.Methods:From November 1,2022 to March 1,2023,84 hospitals in China were recruited by convenient sampling method.A self-designed questionnaire was used to investigate the current status of preoperative bowel preparation for urological surgery.Results:The highest frequency of Mechanical Bowel Preparation(MBP)used in urinary system operations were prostate puncture(81.0%),radical resection of bladder tumor(78.6%),radical resection of prostate cancer(70.2%),and the lowest frequency used was ureterolithiasis surgery(35.7%).For most urological surgeries,MBP was more frequently used in tertiary hospitals than in non-tertiary hospitals(P<0.05).The top three adverse reactions during bowel preparation were abdominal distension(31.1%),affected sleep(27.4%)and nausea(14.7%).Conclusion:MBP is still the main method for preoperative bowel preparation in urology surgery.Surgeons in hospitals tend to choose different preoperative bowel preparation methods for urology surgeries.In the future,under the premise of ensuring patient safety,the experience and research results of intestinal preparation before urology surgery should be further popularized to promote the enhanced recovery of patients.