复方聚乙二醇电解质散在小儿结肠造口关闭手术前肠道准备中的应用

摘要

Objective:To observe the effect of peros polyethylene glycol electrolyte powder compound for pediatric bowel preparation before colostomy clo-sure. Methods:60 cases before colostomy closure were randomly divided into control group and experimental group. The experimental group drunk the solu-tion 6 hours before the operation,while the control group got two times of intestinal lavage (12 hours and 1 hour before the operation) from the near - end of the colostomy mouth. Compared the cleanliness of the near - end of the colostomy mouth, obedience and untoward effect. Results:The experimental group got much better cleanliness (P < 0. 05) and further obedience (P < 0. 05) than control group. The experimental group came out 4 cases of oral difficulty, control group. With 11 cases of acute crying and action,among 11 cases,there were 3 cases of mucosal injury,1 case of operation delaying,1 case of emesis. Conclusion:The effect and obedience of drinking the solution before colostomy closure is satisfactory. However,minority got untoward effect such as oral diffi-culty,emesis. It is still need futher study.%目的：：探讨复方聚乙二醇电解质散在小儿结肠造口关闭手术前肠道准备中的应用效果。方法：将60例结肠造口术后拟行造口关闭手术的患儿随机等分为试验组和对照组，试验组采用术晨(术前6 h)口服复方聚乙二醇电解质散溶液的方法进行肠道准备，对照组采用术前晚(术前12 h)、术晨(术前1~2 h)自结肠造口近端各回流洗肠1次的方法进行肠道准备，比较两组患儿造口近端肠道清洁度、依从性及不良反应发生情况。结果：试验组造口近端肠道清洁度明显优于对照组(P <0.05)，依从性高于对照组(P <0.05)。试验组出现口服困难4例，其中2例出现恶心、呕吐；对照组出现剧烈哭闹、活动11例，其中因剧烈哭闹导致造口近端黏膜损伤出血3例，延期手术1例(大量出汗后上感发热)，呕吐1例。结论：口服复方聚乙二醇电解质散溶液用于小儿结肠造口关闭手术前肠道准备的效果满意，依从性好，但少数患儿存在难以进食、呕吐等不良反应，在肠造口患儿中的应用还有待进一步研究。