The Application Of Rapid Intestinal Recovery Solution In Radical Resection Of Bladder-ileum Urinary Diersion Intraoperative

Objectives Evaluation treated by radical excision of bladder- ileum urinary diersion patients in perioperative period, respectively,using rapid intestinal recovery scheme and the efficacy and safety of regular bowel management scheme.Methods Methods 30 patients were divided into test group and control group,Rapid intestinal rehabilitation group and conventional treatment group,by using the method of random number table.The perioperative treatment measures of the experimental group were guided by the concept of rapid intestinal rehabilitation,mainly include: Forbidden diet time shorten、Tell patients the detail of operation process、Carefully answer questions、not routine indwelling gastric tube.2、Encourage patients to activities after surgery as soon as possible,but it should be step by step,chewing gum, eating as early as possible,from the beginning of the liquid diet, gradually transition to the normal diet.The control group used the traditional perioperative treatment measures, mainly include : Before the operation explain the condition,treatment plan、complications,and preoperative enema,long time forbidden diet,have a good rest postoperative.Comparison of two groups of patients related indicators,include:1、Operation:operation time、amount of bleeding during operation、amount of blood transfusion、food residue of ileum、intraoperative complications,2、Postoperative index:whether need to indwelling gastric tube、the first liquid diet time tolerance after the operation、the time to tolerate an ordinary diet after the operation、the first exhaust time、the first defecation time、the first time to walk freely after the operation.Postoperative complication : intestinal obstruction、anastomotic leakage、hemorrhage、abdominal abscess、incision infection、reoperation.Result There were 32 cases in this trial,final completion of the test 30 cases,15 cases of experimental group, 15 cases of the control group,the related results are compared.1、Basic data age、sex、ASA classification、bladder pathological changes、operation mode、total operation time 、 urinary diversion time 、 amount of bleeding during operation 、intraoperative blood transfusion、incidence of intraoperative complications,the difference was not statistically significant.2、Examination in patients with postoperative exhaust time, defecation time compared with the control group respectively for the first time, shorten the exhaust time, P<0.05, the difference was statistically significant, defecation time has no obvious change, P>0.05, there was no statistically significant difference.3、Experimental group compared with control group, engaged in activities for the first time that significantly shortened,P<0.05, the difference was statistically significant.4、Compared with the control group, experimental group patients tolerance food time significantly shortened, P<0.05, the difference was statistically significant.5、The incidence of postoperative complications, P>0.05, there was no statistically significant difference between the two groups.Conclusion The application of rapid intestinal rehabilitation program is safe and effective.The application of this concept can make patients get more humane medical services,and effectively accelerate the recovery process, shorten the length of hospital stay.Rapid intestinal rehabilitation program is a symbol of humanity personalized medical service concept,have important reference value for the future development of health care program.