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2 elderly colorectal cancer observed the effect of bowel preparation

Promote bowel movements. Night before surgery and 13 patients each morning cleaning enema 1,[link widoczny dla zalogowanych], 2 groups of patients the same perioperative antibiotic usage. 1.3 Evaluation criteria I1J intestinal excellent cleaning results: see whole intestinal surgery empty, deflated depression,[link widoczny dla zalogowanych], cut the intestine clean and completely non-fecal juice; good: intestinal distension, see a small amount of fecal juice cut the intestine; Poor: intestinal flatulence clear the intestine more dung juice. Observation of patients after abdominal and perineal wound healing. 2 Results 2.1 General situation of the traditional group enema with liquid volume of 8000 ~ 10000ml, average 8500rnl, enema time of 3 ~ 6h. Improved method of fluid volume of 2600 - 4500ml, an average of 3800ml ,[link widoczny dla zalogowanych],30 - 60min to complete all irrigation. 2 groups of patients before and after lavage weight,[link widoczny dla zalogowanych], pulse, blood pressure was not significant. 2.2 adverse events during irrigation (see table 1) Wrap 12 groups lavage group turned more traditional response to most patients in varying degrees during enema anal pain, 6 patients had a small amount of anal bleeding. Improvement group, in addition to 23 cases 184 cases somewhat epigastric fullness, 9 patients with different degrees of vomiting, the other patient had no adverse reactions. 2.3 Cleanliness and postoperative infection in patients with intestinal complications (see Table 2). Wrapped in 22 groups of patients bearing in mind the degree of intestinal clean after i paste infectious complications of cystic intestinal cleanliness modified group was significantly better than the traditional group, good rate of 100%; postoperative infectious complications,[link widoczny dla zalogowanych], the traditional group of 19 patients, improvement group 0, data were statistically X2 = 201.9. P <0.005. 3 3.1 The current discussion of colorectal cancer of many preoperative bowel preparation, and the ideal bowel preparation should be: (1) colonic completely empty; (2) does not require antibiotics, the number of bacteria in the intestine reduced; (3) maintenance of water and electrolyte balance; (4) patients less pain, shorter nursing time; (5) low cost. To this end, it is necessary for bowel preparation before surgery, especially for elderly patients with colorectal cancer bowel preparation before surgery to find a more suitable method. 3.2 elective colorectal cancer patients with poor nutritional status of the majority of existing, conventional bowel preparation for a long time, limiting the patient diet, which will add to the already existing undernutrition. Since the whole intestinal absorption of nutrients can be used directly, so a reduction in the large intestine feces, intestinal emptiness, to a certain extent, the large intestinal flora significantly reduced, thus effectively reduce postoperative infectious complications. With all nutrients and do the whole gut lavage elderly colorectal cancer combined preoperative bowel preparation, not only to improve and maintain the nutritional status of patients to correct the negative nitrogen balance and j, and bowel cleansing satisfaction. Observation of 2 methods showed good improvement group was 100%, while the traditional method was 69%. More than 33 comorbidities is another characteristic of elderly patients, and in this case the observed incidence of up to 72%. In particular, the merger of 157 cases were determined to lung disease, accounting for 85% of the number of patients exist. Traditional full-gut lavage, lavage quickly, but could easily lead to Shuinazhuliu, disabled at 65 years of age, with heart and lung disease, and complete obstruction of patients], with all nutrients and whole gut lavage bowel preparation combined the large intestine after emptiness, waste less and thin, short lavage, fluid discharge quickly, so the load does not increase the cycle of the patient (lavage, no significant difference in weight before and after the test), patients and well tolerated. Group of 184 cases of patients were able to improve the successful completion of lavage, no serious complications occurred in 1 case. Therefore, the improved method for senior citizens, have heart and lung disease in elderly patients with colorectal cancer can also be applied. 3.4 The improved method instead of the traditional use of oral lavage of the whole intestinal lavage irrigation by tube, gastric tube because no home, reducing the patient nausea, vomiting, throat discomfort, but also brings to avoid the traditional enema anal pain, bleeding and enema to stimulate the patient and the pressure of the tumor, patients are willing to accept. 3.5 to reduce the nursing workload. Enema bowel preparation time for the traditional method takes 3 ~ 6h, often require two or more nurses to complete. The modified method only a nurse, took 30 - 60min to complete irrigation work, shortening the nursing time, reduce the nursing workload.