摘要
[目的]探讨肝移植术前最佳的肠道准备方案。[方法]将意识清楚,血糖、血钾正常,能耐受口服2 000mL药液,同意参与实验的接受肝移植手术的病人120例,采用随机数字表法分为两组,每组60例。服药组术前采用"口服PEG-ELS全胃肠道灌洗法";灌肠组术前采用"清洁灌肠法"。分别对两组肠道清洁总耗时、护理工作总耗时、病人舒适度、内环境变化、术后胃肠功能恢复情况、术后消化系统并发症的发生率进行观察。[结果]两组病人舒适度、肠道清洁前后血糖、血K+变化,术后首次肛门排气时间的比较、术后消化系统并发症发生率的比较,差异无统计学意义;两组肠道清洁总耗时,灌肠组显著少于服药组(P<0.001);两组护理工作总耗时的比较,服药组显著少于灌肠组(P<0.001)。[结论]肠道清洁是术前肠道准备方案中的一个重要环节,两种肠道准备方案均可达到肝移植术前肠道准备的要求。临床护士应根据手术等待时间,并考虑病人的病情、个人意愿、年龄、民族等因素进行合理选择。
Objective： To probe into the best bowel preparation program before liver transplantation. Methods： A total of 120 cases of patients who had clear consciousness, normal blood sugar, blood potassium, and a- ble to tolerate oral 2 000 mL drug solution and agreed to participate in the experiments were divided into two groups by using a random number table,60 cases in each group. The preoperative medication group patients received oral PEG - ELS total gastrointestinal lavage; enema group pa- tients used preoperative cleansing enema, then to observe the total time of intestinal cleansing, total time of nursing work, patients＇ comfort, changes in the internal environment, postoperative gastrointestinal func- tion recovery,incidence of postoperative digestive complications between both groups. Results：There was no statistically significant difference in patients＇ comfort, changes in blood sugar and serum potassium be{ore and after bowel cleansing, the first anal exhaust time after operation and incidence of digestive complications between both groups;the total time of intestinal cleansing of enema group was significantly less than that of medication group （P〈0. 001） ;the total time of nursing work of medica- tion group patients was significantly less than that of enema group （P〈 0. 001）. Conclusion： The both bowel preparation programs can achieve the requirements of the bowel preparation before liver transplantation. Clinical nurses should make a reasonable choice based on surgical waiting time, the patients＇ condition and individual wishes, age, ethnicity.
出处
《护理研究（下旬版）》
2013年第4期1084-1086,共3页
Chinese Nursing Researsh
关键词
肝移植
肠道准备
复方聚乙二
醇电解质散
灌肠法
liver transplantation
bowel preparation
compound polyethy-lene glycol electrolyte powdei
enema
