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1、口服药物法行肠道准备在肝叶切除术中应用的效果解放军护理杂志2007年1O月,24(1OB)口服药物法行肠道准备在肝叶切除术中应用的效果周丽平,王志红(第二军医大学东方肝胆外科医院,陈月芳肿瘤综合治疗科,上海2OO438)摘要:目的研究肝脏手术适宜简便的术前肠道准备方法.方法将330例肝切除术患者,随机分为口服乳果糖组170例,口服硫酸镁组160例.使用统一的调查问卷调查服药后耐受性,服药后排便次数,术中及术后并发症情况,术后胃肠道功能恢复情况等.结果硫酸镁组有35例因呕吐,腹胀等原因未能全部服完硫酸镁液,服药后不良反应硫酸镁组明显高于乳果糖
2、组(P<O.01).服药后排便,乳果糖组9O%在3次以下,有15例未排便而再次行肠道准备(开塞露4Oml纳肛),而硫酸镁组有86.9的病例大便次数在3次以上,其中≥6次者达47.5.两组患者术后肠道功能恢复天数,胃肠道并发症发生率无明显差别(P>O05).玷论对于肝切除术前肠道准备,乳果糖综合效果优于硫酸镁.护理人员在此过程中,应做好用药指导及效果观察.关键词:肝叶切除术;肠道准备;乳果糖;硫酸镁中图分类号:R472.91文献标志码:A文章编号:10O8—9993(2007)1OB一0004--03OutcomesofCatha
3、rticBowelPreparationforHepatectomy:AComparisonZHOULi-ping,WANGZhi—hong,CHENYue-fang(Depa~mentofComprehensiveTreatment.EasternHepatobiliarySurgeryHospital,SecondMilitaryMedicalUniversity,Shanghai200433,China)Abstract:ObjeaiveTosearchforasimplemethodforbowelpreparationbefore
4、hepatectomy.MethodsAtotalof330patientswhohasundergonehepatectomyinourdepartmentwererandomlydividedintogroupD(orallytakenDuphalac,"一170)andgroupM(orallytakenMagnesiumSulfate,It/一160).T0l—erance,defecationtimes,postoperativecomplicationsandrecoveryofgastrointestinalfunctiono
5、fpatientswereinvestigatedbyunifiedquestionnairesurvey.ResultsThirty-fivepatientsingroupMdidnotcom—pletethestudyduetovomitingandabdominaldistensiorLAdversereactionoccurredmorefrequentlyingroupMthaningroupD(Pd0.01).Therewere90ofpatientsingroupDdefecatedlessthan3times;15patie
6、ntswhodidnotdefecateweresubjectedto40mlGlycerineEnemaintotheanus.Therewere86.9ofpatientsingroupMdefecatedover3timesand47.5patientsdefecated0一ver6times.Nosignificantdifferencewasfoundinpostoperativecomplicationsandrecoveryofgastrointestinalfunctionbetweenthetwogroups(P>0
7、.05).ConclusionDuphalacissuperiortoMagnesiumSulfateinbowelpreparationbeforehepatoectomy.Nursingstaffshouldgivebetterdrugadministrationguidanceandobservationoftheoutcomes.Keywords:hepatectomy;bowelpreparation;duphalac;magnesiumsulfateINursJChinPLA,2007,24(10B):4—6I肝叶切除术是处理肝
8、脏外科疾病的重要手段L1].因肝脏外科疾病多合并不同程度肝功能损害,胃肠道功能障碍[2],如术前肠道准备不充分,除可能造成术中因麻醉后肛门括约肌松弛致排便造成污染外,术后肠道积气
