开塞露在腹腔镜辅助根治性右半结肠切除术后的应用(1)
【摘要】 目的：研究开塞露在腹腔镜辅助根治性右半结肠切除术后肠功能恢复中的应用。方法：选取广东医科大学附属医院胃肠外科2015年10月-2017年5月收治的阑尾、盲肠、升结肠及结肠肝曲癌的患者94例，均行腹腔镜辅助根治性右半结肠切除术，按照随机数字表法将患者分成观察组和对照组，各47例。对照组予以常规治疗，观察组于术后12 h加用开塞露。比较两组患者肛门排气时间、排便时间、出院时间及术后并发症发生率。结果：观察组患者肛门排气时间、排便时间、出院时间均短于对照组，差异均有统计学意义(P<0.05)；两组术后并发症发生率比较，差异均无统计学意义(P>0.05)。结论：开塞露能够加快腹腔镜辅助根治性右半结肠切除术后肠功能恢复，缩短住院时间，同时安全可靠并不增加吻合口瘘的风险，能够为术后进一步治疗做好准备。
【关键词】 开塞露； 结肠癌术后； 肠功能恢复
Application of Glycerine Enema in the Recovery of Intestinal Function after Laparoscopic Assisted Radical Resection of Right Hemicolectomy/ZHENG Hao，XU Qingwen，CAI Pengzhu，et al.//Medical Innovation of China，2018，15(06)：110-113
【Abstract】 Objective：To study the application of Glycerine Enema in the recovery of intestinal function after laparoscopic assisted radical resection of right hemicolectomy.Method：From October 2015 to May 2017，94 patients with appendicitis，cecum，ascending colon and hepatic flexure carcinoma of colon were selected from the department of gastrointestinal surgery，affiliated Hospital of Guangdong Medical University，all patients underwent laparoscopically assisted radical hemicolectomy，they were divided into observation group and control group according to table of random numbers，47 cases in each group.The control group was given conventional treatment，the observation group was treated the Glycerine Enema at 12 h after surgery.The time of anus exhaust，defecation time，discharge time and postoperative complication rate were compared between two groups. Result：The anus exhaust time，defecation time，discharge time of the observation group were shorter than those of the control group，the differences were statistically significant(P<0.05).There were no significant differences on inpostoperative complications between two groups(P>0.05).Conclusion：Glycerine Enema can accelerate the recovery of intestinal function after laparoscopic-assisted radical resection of right hemicolectomy，shorten hospitalization time，and safe and reliable does not increase the risk of anastomotic fistula，can prepare for further treatment after operation.
【Key words】 Glycerine Enema； Colorectal cancer postoperative； Recovery of intestinal function
First-author’s address：Guangdong Medical University，Zhanjiang 524000，China
doi：10.3969/j.issn.1674-4985.2018.06.031
大腸癌是我国常见肿瘤之一，发病率分别居于女性、男性恶性肿瘤第二位、第三位[1]。目前治疗结肠癌是以手术治疗为首选辅以多学科联合治疗[2]，包括化学治疗、靶向治疗、基因治疗、中医中药等[3]。随着腹腔镜根治性右半结肠切除术优于传统根治术被证实，在临床得到广泛应用[4-5]。由于手术及麻醉可引起胃肠蠕动减弱或消失，使术后出现不同程度的肠麻痹，重者因肠麻痹时间长进一步产生肠粘连、肠梗阻等，从而影响患者术后恢复以及术后的治疗[6]。本文前瞻性研究开塞露在腹腔镜辅助根治性右半结肠切除术后肠功能恢复中的应用，现报告如下。, 百拇医药(郑浩 许庆文 蔡朋株 徐飞鹏 黄哲 周才进)
【关键词】 开塞露； 结肠癌术后； 肠功能恢复
Application of Glycerine Enema in the Recovery of Intestinal Function after Laparoscopic Assisted Radical Resection of Right Hemicolectomy/ZHENG Hao，XU Qingwen，CAI Pengzhu，et al.//Medical Innovation of China，2018，15(06)：110-113
【Abstract】 Objective：To study the application of Glycerine Enema in the recovery of intestinal function after laparoscopic assisted radical resection of right hemicolectomy.Method：From October 2015 to May 2017，94 patients with appendicitis，cecum，ascending colon and hepatic flexure carcinoma of colon were selected from the department of gastrointestinal surgery，affiliated Hospital of Guangdong Medical University，all patients underwent laparoscopically assisted radical hemicolectomy，they were divided into observation group and control group according to table of random numbers，47 cases in each group.The control group was given conventional treatment，the observation group was treated the Glycerine Enema at 12 h after surgery.The time of anus exhaust，defecation time，discharge time and postoperative complication rate were compared between two groups. Result：The anus exhaust time，defecation time，discharge time of the observation group were shorter than those of the control group，the differences were statistically significant(P<0.05).There were no significant differences on inpostoperative complications between two groups(P>0.05).Conclusion：Glycerine Enema can accelerate the recovery of intestinal function after laparoscopic-assisted radical resection of right hemicolectomy，shorten hospitalization time，and safe and reliable does not increase the risk of anastomotic fistula，can prepare for further treatment after operation.
【Key words】 Glycerine Enema； Colorectal cancer postoperative； Recovery of intestinal function
First-author’s address：Guangdong Medical University，Zhanjiang 524000，China
doi：10.3969/j.issn.1674-4985.2018.06.031
大腸癌是我国常见肿瘤之一，发病率分别居于女性、男性恶性肿瘤第二位、第三位[1]。目前治疗结肠癌是以手术治疗为首选辅以多学科联合治疗[2]，包括化学治疗、靶向治疗、基因治疗、中医中药等[3]。随着腹腔镜根治性右半结肠切除术优于传统根治术被证实，在临床得到广泛应用[4-5]。由于手术及麻醉可引起胃肠蠕动减弱或消失，使术后出现不同程度的肠麻痹，重者因肠麻痹时间长进一步产生肠粘连、肠梗阻等，从而影响患者术后恢复以及术后的治疗[6]。本文前瞻性研究开塞露在腹腔镜辅助根治性右半结肠切除术后肠功能恢复中的应用，现报告如下。, 百拇医药(郑浩 许庆文 蔡朋株 徐飞鹏 黄哲 周才进)