Beck D E, Fazio V W
Department of General Surgery, Wilford Hall USAF Medical Center, Lackland, AFB, Texas 78236.
Dis Colon Rectum. 1990 Jan;33(1):12-5. doi: 10.1007/BF02053194.
A mail survey of 300 members of The American Society of Colon and Rectal Surgeons (ASCRS) was conducted to document the current methods of bowel preparation in use. Two hundred six questionnaires (69 percent) were returned. The majority of respondents (104 or 51 percent) used cathartics and enemas as the primary method of mechanical bowel cleansing. Eighty-nine (43 percent) used a PEG lavage, eight (4 percent) used mannitol, and one physician used a saline lavage method. Almost all the responding surgeons believed that their method of preparation was well tolerated by patients, provided good cleansing, and was associated with few complications. Most patients were admitted one day before surgery. All respondents used perioperative antibiotics, with the most common pattern being a combination of oral and parenteral agents. Surgeons using PEG lavage did more colonic resections per month and were fewer years out of their residency. This current pattern of preoperative bowel preparation has changed from previous surveys.
对300名美国结肠和直肠外科医师协会（ASCRS）成员进行了一项邮件调查，以记录目前正在使用的肠道准备方法。共收回206份问卷（69%）。大多数受访者（104人或51%）使用泻药和灌肠作为机械性肠道清洁的主要方法。89人（43%）使用聚乙二醇灌洗，8人（4%）使用甘露醇，1名医生使用盐水灌洗法。几乎所有回复的外科医生都认为他们的准备方法患者耐受性良好，清洁效果好，且并发症少。大多数患者在手术前一天入院。所有受访者都使用围手术期抗生素，最常见的模式是口服和肠外用药联合使用。使用聚乙二醇灌洗的外科医生每月进行的结肠切除术更多，且从住院医师培训结束后工作的年限更短。目前这种术前肠道准备模式与之前的调查有所不同。
