单纯肝癌切除患者术前两种肠道准备方法的观察和探讨

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目的:研究适合单纯肝癌切除患者术前肠道准备方法。方法:选取50例需做肠道准备的肝癌患者,随机分为对照组和实验组两组,每组25例,对照组采用复方聚乙二醇电解质(恒康正清)2盒口服灌肠,实验组采用辉力1支塞肛灌肠,根据病人出现排便时间,排便时间,以及在临床上的胃肠道反应及术后肠蠕动恢复情况,来比较肠道准备效果及其对患者的适用性。结果:辉力灌肠组患者出现排便时间、胃肠道反应明显低于口服恒康正清患者,二者在术后肠胀气的发生及肠蠕动的恢复时间方面基本一致。结论:辉力可代替恒康正清予肝癌患者术前肠道准备,使用方便、经济,可避免患者恶心、呕吐等强烈胃肠道反应,还能减轻患者痛苦,有利于患者术后恢复。 Objective: To study preoperative bowel preparation for patients with simple liver cancer resection. Methods: Fifty patients with hepatocellular carcinoma (HCC) who needed enteric preparation were randomly divided into control group and experimental group, with 25 cases in each group. The control group received 2 boxes of oral enema with compound polyethylene glycol electrolyte (Hengkang Zhengqing) Using glitz ani enema enema, according to the patient appeared defecation time, defecation time, and clinical gastrointestinal reactions and postoperative recovery of peristalsis, to compare the effectiveness of intestinal preparation and its applicability to patients. Results: The defecation time and gastrointestinal reaction of patients with ghrelin enema were significantly lower than those of patients with oral gavage. Both of them were basically consistent in the occurrence of postoperative intestinal flatulence and the recovery time of peristalsis. Conclusions: Hui-Li can replace Heng Kang Zheng-Qing preoperative intestinal preparation for patients with liver cancer, easy to use, economical, to avoid nausea and vomiting in patients with strong gastrointestinal reactions, but also reduce the pain of patients is conducive to postoperative recovery.
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