摘要
Abstract
Objective To compare the effect of preoperative bowel preparation before tissue-selecting therapy stapler (TST) between colon hydrotherapy and routine enema in patients with mixed hemorrhoid.Methods 140 patients undergoing elective TST surgery from May to December 2016 in our hospital were randomly assigned to routine enema group and intestinal hydrotherapy group,with 70 cases in each group.The routine enema group received conventional warm saline of 500 ～ 1000 mL(4 ～ 5 times of cleansing enema between 7:00 ～ 8:00 at the night before surgery and 2 ～ 3 times between 6:30 ～ 7:00 on the day of surgery.The colon hydrotherapy group received CL300 type colon hydrotherapy,with 10 ～ 15 times of preoperative repeated lavage at the afternoon of surgery.The operation time,degree of intestinal cleaning according to operator's feedback and the degree of abdominal distension after treatment according to patients' feedback were compared between groups.Results The average operation time in the routine enema group was (95.31 ± 12.89) min,and in the colon hydrotherapy group was (40.05 ± 5.38) min,with statistically significant difference (P ＜ 0.05).Total effective rate in the routine enema group was 100％(70/70),and in the colon hydrotherapy group was 60％(42/70),with no significant difference between groups (P ＜ 0.05).There were significant differences between the two groups in overall intestinal cleanness (P ＜ 0.05).There were significant differences in the incidence of severe,moderate and mild abdominal distension between the two groups (P ＜ 0.05).The difference of abdominal distension between the two groups was statistically significant (P ＜ 0.05).Conclusion Compared with routine enema,colon hydrotherapy is more convenient,time-saving,safe,comfortable,and thorough in the preparation of bowel before TST.关键词
TST/术前肠道准备/结肠水疗/常规灌肠Key words
TST/preoperative bowel preparation/colon hydrotherapy/routine enema分类
医药卫生
