经回肠双襻造口远端灌肠对术前肠镜及术后肠功能恢复的影响.docx

经回肠双襻造口远端灌肠对术前肠镜及术后肠功能恢复的影响

[关键词]?直肠癌；回肠双襻造口；顺行肠道准备；逆行肠道准备；舒适化医疗

[中图分类号]?R656??????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.04.007

Effect?of?anterograde?lavage?via?ileal?double-loop?stoma?on?preoperative?colonoscopy?and?postoperative?recovery?of?bowel?function

HUANG?Shurong

Department?of?Gastrointestinal?Surgery，?Quanzhou?First?Hospital?Affiliated?to?Fujian?Medical?University，?Quanzhou?362000，?Fujian，?China

[Abstract]?Objective?To?investigate?the?effect?of?anterograde?lavage?via?ileal?double-loop?stoma?on?preoperative?colonoscopy?and?postoperative?bowel?function.?Methods?A?total?of?191?patients?who?underwent?laparoscopic?anterior?rectal?resection?plus?prophylactic?double-loop?ileal?stomy?in?Quanzhou?First?Hospital?Affiliated?to?Fujian?Medical?University?from?January?2019?to?December?2021?were?selected?and?divided?into?anterograde?group?（n=97）?and?retrograde?group?（n=94）?according?to?different?lavage?methods.?Patients?in?anterograde?group?underwent?temporary?double-loop?ileal?stomy?with?distal?lavage.?Patients?in?retrograde?group?underwent?anal?lavage.?The?qualified?rate?of?colonoscopy，?external?damage?rate?of?intestinal?mucosa，?exhaust?time，?defecation?time，?fluid?intake?time，?total?hospitalization?time，?total?hospitalization?cost?and?satisfaction?of?two?groups?of?patients?were?compared.?Results?The?qualified?rate?of?preoperative?colonoscopy?in?anterograde?group?was?significantly?higher?than?that?in?retrograde?group，?and?the?external?damage?rate?of?intestinal?mucosa?was?significantly?lower?than?that?in?retrograde?group?（P0.05）.?The?postoperative?exhaust?time，?fluid?intake?time?and?total?hospitalization?time?in?anterograde?group?were?significantly?shorter?than?those?in?retrograde?group?（P0.05）.?The?total?hospitalization?cost?in?anterograde?group?was?significantly?lower?than?that?in?retrograde?group?（P0.05）.?The?satisfaction?of?patients?in?anterograde?group?was?significantly?higher?than?that?in?retrograde?group?（89.69%?vs.?52.13%，?Z=–7.165，?P0.001）.?Conclusion