番泻叶联合甘露醇肠道清洁对多层螺旋CT肠道成像的影响

发布时间：2018-01-17 15:34

本文关键词：番泻叶联合甘露醇肠道清洁对多层螺旋CT肠道成像的影响　出处：《中国药房》2016年05期 　论文类型：期刊论文

【摘要】：目的:评价番泻叶联合甘露醇进行肠道清洁对多层螺旋CT肠道成像的影响。方法:回顾性收集2011年6月-2012年6月在我院行多层螺旋CT肠道成像检查的炎性肠道疾病患者52例,根据肠道准备方法将患者分为对照组(22例)和观察组(30例)。两组患者在检查前12 h禁食,对照组患者在检查前12 h给予中药材潘泻叶20 g加500 ml开水浸泡半小时服用,然后再次加入500 ml开水浸泡半小时服用,同时饮清水1 000 ml;观察组患者在检查前1 d早餐后2 h采用中药材番泻叶10 g加500 ml开水浸泡服用,中餐后2 h再次加入500 ml开水浸泡服用,晚餐后2 h口服10%甘露醇500 ml,同时饮清水1 000 ml。两组患者服药后直至大小便排出清水样无粪时采用多层螺旋CT肠道成像检查。比较两组患者肠道清洁有效率、成像质量、不良反应发生率。结果:观察组患者肠道清洁有效率为100%,显著高于对照组的81.82%,差异有统计学意义(P0.05);观察组患者成像质量优良率为96.67%,显著优于对照组的81.82%,差异有统计学意义(P0.05);观察组患者腹痛腹胀、恶心呕吐、肠黏膜损伤等不良反应的发生率均显著低于对照组,差异有统计学意义(P0.05)。结论:番泻叶联合甘露醇是多层螺旋CT肠道成像检查中有效的肠道准备方法,肠道清洁效果好、成像质量高,且不良反应发生率较低。
[Abstract]:Objective: to evaluate the effect of intestinal cleaning with Senna leaf combined with mannitol on multislice spiral CT intestinal imaging. From June 2011 to June 2012, 52 patients with inflammatory intestinal diseases underwent multislice spiral CT enterography in our hospital. The patients were divided into control group (n = 22) and observation group (n = 30) according to the method of intestinal preparation. The patients in the control group were treated with Chinese herbal medicine Panxie leaf 20g and 500ml boiled water for half an hour before examination 12 hours before examination, and then added 500ml boiled water for half an hour. Drinking water 1 000 ml at the same time; The patients in the observation group were treated with 10 g of Senna leaf and 500 ml of boiled water at 2 h before breakfast, and then were treated with 500 ml boiled water at 2 h after lunch. 10% mannitol was administered 2 hours after dinner. At the same time drinking clear water 1 000 ml. The two groups of patients after taking medicine until the excretion of clear water without feces using multi-slice spiral CT intestinal imaging. Compared the two groups of patients intestinal cleaning efficiency imaging quality. Results: the effective rate of intestinal cleaning in the observation group was 100, which was significantly higher than that in the control group (81.82%, P 0.05). The excellent and good rate of imaging quality in the observation group was 96.67, which was significantly better than that in the control group (81.82%), and the difference was statistically significant (P 0.05). The incidence of abdominal pain, abdominal distension, nausea and vomiting, intestinal mucosal injury and other adverse reactions in the observation group was significantly lower than that in the control group. Conclusion: Senna combined with mannitol is an effective method for the preparation of intestinal tract in multi-slice spiral CT intestinal imaging, and the intestinal cleaning effect is good and the imaging quality is high. The incidence of adverse reactions was lower.
【作者单位】：温州市龙湾区第一人民医院重症医学科;温州市龙湾区第一人民医院放射科;温州市龙湾区第一人民医院消化内科;
【基金】：温州市龙湾区软科学研究项目(No.2013R16)
【分类号】：R574
【正文快照】： 多层螺旋CT(MSCT)技术目前已经被广泛应用于炎症性肠病(IBD)、肠道外病变方面的检测与诊断,该技术能够比较直观地显示出患者肠道内病变部位及结构特征,同时还具有方便、快捷、全方位检测等特点[1]。MSCT在临床上较好的检测效果,为后期对患者进行有效治疗和预后工作提供了重要

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