Abstract:

Objective  To observe the efficiency of polyethylene glycol electrolyte powder and mannitol injection in patients with mixed hemorrhoid according to their preoperative and postoperative outcomes summarize experience. Methods Between January 2017 and June 2017, 32 patients as the trial group took polyethylene glycol electrolyte powder and 32 patients as the control group took mannitol for intestinal preparation in People’s Hospital of Zhuhai. The first defecation time, the postoperative anal exhaust time, and the rate of adverse event were recorded. Results The time of the first defecation was 2.31±0.54 h in the trial group, and 4.04+0.55 h in the control group（P<0.001）; the postoperative anal exhaust time was 17.03 ± 1.60 h, and 20.19 ± 1.38 h in the control group（P<0.001）; the rate of adverse event was 3.1% in the trial group, and 25.0% in the control group（P=0.031）. Conclusion The preparation of polyethylene glycol electrolyte powder for mixed hemorrhoid patients has good bowel preparation effect, and can effectively promote the recovery of intestinal function with less side effects, which is worthy of clinical recommendation.

Key words: mixed hemorrhoid, mannitol, polyethylene glycol electrolyte powder , bowel preparation

摘要：

目的 比较复方聚乙二醇电解质散和甘露醇应用于混合痔患者术前肠道准备的效果和使用体会。方法 回顾性分析从2017年1月至2017年6月我医院收治的64例混合痔患者，根据患者术前肠道准备口服复方聚乙二醇电解质散者为观察组，32例；口服20%甘露醇注射液肠道准备者为对照组，32例。观察两组患者的手术效果和术后并发症，以及口服药物后首次排便时长、术后肛门排气时长以及不良情况发生率。结果 观察组患者首次排便时长为2.31±0.54h，对照组的为4.04±0.55h，P<0.001；观察组患者术后肛门排气时长为17.03±1.60h，对照组的为20.19±1.38h，P<0.001；观察组患者不良情况1例，发生率为3.1%，对照组的为8例，25.0%，P=0.031。结论 混合痔患者术前予以口服复方聚乙二醇电解质散肠道准备效果良好，且能有效地促进肠道功能恢复，副作用少。

关键词: 甘露醇, 复方聚乙二醇电解质散, 混合痔, 肠道准备