肠道准备(国外英语资料).doc

肠道准备(国外英语资料) Bowel preparation For an overview, please comment Traditionally, the colon contents with high bacteria pollution is an important cause of infection after colorectal cancer surgery, and reasonable good bowel preparation has a decisive effect on the prevention of postoperative infection. It emphasizes that the colon is empty, clean, collapsed and sterile during operation, and that it should not affect the homeostasis of the organism and not increase the chance of metastasis. Therefore, many scientists designed surgical method for intestinal cleaning different, in the process of many methods used, different authors have reported different results and complications, produced many different understanding of literature and combined with my experience is summarized as follows. 1. Cleaning of intestinal contents Bowel preparation can be divided into two categories: the removal of food residues from bacteria in the intestines and the use of antibiotics in the intestine. Studies have shown that only the use of antibiotics without cleaning food residues of large intestine, colon bacteria have little effect. Therefore, the mechanical removal of intestinal contents is very important. Source: Medical Education Network 1.1 retrograde bowel cleaning, also known as traditional bowel preparation The specific method is: semi liquid diet 3-5 days before surgery, 2-3 days into the liquid, three days before operation in laxatives such as 50%, Magnesium Sulfate 30ml or 30ml castor oil, every night a hydrotherapy, preoperative night cleaning enema, until the stool for the water sample. This method uses a longer history, the effect is accurate It has been accepted by most surgeons and is still widely used in primary hospitals. But due to the following disadvantages caused people to doubt its rationality: (1) the long-term use of laxatives and repeated enema can cause dehydration, electrolyte imbalance and malnutrition, the patients physical consumption, Reduced the patients tol