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[目的]采用肠内营养方法辅助手术前肠道准备,纠正大肠癌传统手术前肠道准备方法的缺陷,提高手术前肠道准备的质量和手术治疗的安全性。[方法]选择已确诊大肠癌且择期顺利接受手术治疗的病人120例,随机分为实验组(配合肠内营养制剂)和对照组(按照传统肠道准备方法)各60例;手术前肠道准备过程中,实验组在禁食的同时配合使用肠内营养制品,对照组按照传统方法进行,比较肠道准备过程中不良反应的发生率,手术前晚清洁灌肠的次数,手术中肠道的清洁度,检测肠道准备前后的血红蛋白水平。[结果]实验组手术前晚清洁灌肠的次数明显少于对照组,不良反应的发生率明显低于对照组,均有显著性差异,两组的肠道清洁效果和血红蛋白水平无显著差异。[结论]应用肠内营养方法辅助手术前肠道准备,有助于取得满意的术前肠道准备效果,具有传统肠道准备方法所欠缺的多项优势和良好的推广应用价值,肠内营养方法在手术前肠道准备中的作用应予重视。
[Objective] The purpose of this study was to use enteral nutrition to assist preoperative intestinal preparation, to correct the defects of intestinal preparation before traditional surgery of colorectal cancer, and to improve the quality of preoperative intestinal preparation and the safety of surgical treatment. [Methods] A total of 120 patients with confirmed colorectal cancer who underwent selective operation were randomly divided into experimental group (with enteral nutrition) and control group (according to traditional intestinal preparation) Preparation process, the experimental group in the fasting with the use of enteral nutrition products, the control group according to the traditional method to compare the incidence of adverse reactions during bowel preparation, the number of clean enemas before surgery, intestinal surgery Cleanliness, detection of hemoglobin before and after bowel preparation. [Results] The number of cleansing enemas in the experimental group was significantly less than that in the control group, the incidence of adverse reactions was significantly lower than that in the control group, there was no significant difference between the two groups in intestinal cleansing effect and hemoglobin level. [Conclusion] Using enteral nutrition to assist preoperative bowel preparation helps to obtain satisfactory preoperative bowel preparation, which has the advantages of traditional bowel preparation and good application value. Enteral nutrition The role of the method in preoperative intestinal preparation should be emphasized.