[問字] 請求英文高手幫小弟翻譯

[mastur (世紀醜八怪)]

由於小弟才疏學淺
因應工作的需要
GOOGLE單字一個禮拜之後
發現翻譯都怪怪的
才上來請求鄉民可以幫助小地度過這個難關


Headnote
Summary
Background Mechanical bowel preparation is a common practice before elective
colorectal surgery. We aimed to compare the rate of anastomotic leakage after
elective colorectal resections and primary anastomoses between patients who
did or did not have mechanical bowel preparation.
Methods We did a multicentre randomised non-inferiority study at 13
hospitals. We randomly assigned 1431 patients who were going to have elective
colorectal surgery to either receive mechanical bowel preparation or not.
Patients who did not have mechanical bowel preparation had a normal meal on
the day before the operation. Those who did were given a fluid diet, and
mechanical bowel preparation with either polyethylene glycol or sodium
phosphate. The primary endpoint was anastomotic leakage, and the study was
designed to test the hypothesis that patients who are given mechanical bowel
preparation before colorectal surgery do not have a lower risk of anastomotic
leakage than those who are not. The median follow-up was 24 days (IQR 17-34).
We analysed patients who were treated as per protocol. This study is
registered with ClinicalTrials.gov, number NCT00288496.
Findings 77 patients were excluded: 46 who did not have a bowel resection; 21
because of missing outcome data; and 10 who withdrew, cancelled, or were
excluded for other reasons. The rate of anastomotic leakage did not differ
between both groups: 32/670 (4.8%) patients who had mechanical bowel
preparation and 37/684 (5.4%) in those who did not (difference 0.6%, 95% CI
-1.7% to 2.9%, p=0.69). Patients who had mechanical bowel preparation had
fewer abscesses after anastomotic leakage than those who did not (2/670
[0.3%] vs 17/684 [2.5%], p=0.001). Other septic complications, fascia
dehiscence, and mortality did not differ between groups.
Interpretation We advise that mechanical bowel preparation before elective
colorectal surgery can safely be abandoned.
Introduction
Symptomatic anastomotic leakage is the most important surgical complication
after colorectal surgery and can cause morbidity and mortality. Mechanical
bowel preparation has been regarded as an efficient strategy to prevent
anastomotic leakage and septic complications. Observational data and expert
opinions1-4 have traditionally held that mechanical bowel preparation before
colorectal surgery reduces faecal mass and bacterial count in the lumen.
However, in the past few decades, the practice has been questioned.510 In two
studies, anastomotic leakage was more likely to occur in patients who had
received mechanical bowel preparation before surgery.78 However, these trials
were underpowered, because of insufficient participants. We aimed to compare
the outcome of elective colorectal resections with and without mechanical
bowel preparation in terms of anastomotic leakage and other complications.
Methods
Study participants
Between April, 1998, and February, 2004, we enrolled patients at 13
participating hospitals (including nine teaching hospitals) in the
Netherlands. The main criterion for inclusion was an indication for elective
colorectal surgery with primary anastomosis. Patients were excluded if they
had an acute laparotomy; had laparoscopic colorectal surgery; had a
contraindication for the use of mechanical bowel preparation; had an a priori
deviating ileal stoma; or were aged younger than 18 years. Surgeons in the
participating hospitals enrolled patients in the study at the last visit
before they were scheduled to have elective colorectal surgery. We obtained
written informed consent from all patients.

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◆ From: 218.35.1.85
→ APM99:未看先猜樓下說給他一千他幫你翻
推 doubleXD:...........誰這麼閒阿= =
推 applekiwi:樓下聽說很閒
→ mercido:很閒但是英文不夠好耶  你好歹也放上你自己查的翻譯= =
推 newacc:呃，你知道翻譯也是一種職業嗎？
推 monkeywife:花錢到外面請專業的來吧 你不知道翻譯也是可以賺錢的嗎
→ monkeywife:薪水你在領 工作叫網友做 也太輕鬆了吧
噓 Rizzi:自己以前不好好讀英文,現在才來求免費翻譯?
→ cortex1234:http://translate.google.com/
→ cortex1234:Translator板可以付費發翻譯案 付台幣不是P幣
→ applekiwi:1.至少你也翻你的版本來看　2.一大篇沒有酬勞實在...
噓 urdie:自己的工作自己做