Ye X, Yang F
Institute of General Surgery, Nanjing General Hospital of Nanjing Military Area Command.
Zhonghua Hu Li Za Zhi. 1997 May;32(5):254-6.
A modified one-day preoperative bowel cleaning was used in patients undergoing surgery for colorectal cancers. It was compared with traditional three-day bowel preparation, 48 patients without obstruction were randomized to two groups, with 24 each. Modified one-day method was used in experimental group, and traditional three-day method was used in control group. No significant changes were found in plasma electrolytes, hemoglobin end hematocrit in both groups. The intraoperative bowel cleaning condition were grade I in all patients. Bowel fluid culture was positive in 30% of the experimental patients, whereas in 70% of the contral patients. Wound infection occurred in one patient in both groups (4.2%). It is suggested that the modified one-day preoperative bowel preparation may alleviate the patients' suffering from diahrrea and homeostatic disturbances, ensure them in good sleep and rest, reduce the nursing work, and result in good bowel cleaning for operation. It is a simple, safe, and effective method for preoperative bowel cleaning.
对接受结直肠癌手术的患者采用改良的术前一日肠道准备法。将其与传统的三日肠道准备法进行比较，48例无肠梗阻患者被随机分为两组，每组24例。实验组采用改良一日法，对照组采用传统三日法。两组患者的血浆电解质、血红蛋白和血细胞比容均无显著变化。所有患者术中肠道清洁情况均为I级。实验组30%的患者肠道液体培养呈阳性，而对照组为70%。两组均有1例患者发生伤口感染（4.2%）。结果提示，改良的术前一日肠道准备法可减轻患者腹泻和内环境紊乱的痛苦，保证患者良好的睡眠和休息，减少护理工作量，并能达到良好的术中肠道清洁效果。它是一种简单、安全、有效的术前肠道准备方法。
