无痛结肠镜前聚乙二醇口服时间对肠道准备效果的影响

发布时间：2018-08-01 19:10

【摘要】：目的观察无痛肠镜术前不同时间口服复方聚乙二醇电解质散剂进行肠道准备的清肠效果和舒适性。方法收集消化内科住院期间173例行无痛结肠镜检查患者的资料,根据口服复方聚乙二醇电解质散剂的时间不同分为3组,A组检查前1天22:00服用4盒,检查时间为当天8∶30~10∶30。B组检查前1天20∶00服用1盒,检查当天5∶00服用3盒,检查时间为当天10∶30~12∶30。C组检查前1天20∶00服用1盒,检查当天7∶00服用3盒,检查时间为当天13∶30~15∶30。比较3组患者结肠准备质量,并评估患者舒适度。结果 A、B和C组结肠准备清洁充分率分别为61.4%、78.7%和72.7%,差异无统计学意义(P=0.111),3组患者主观舒适度比较,B、C组患者肠道准备中舒适度优于A组,不良反应发生率偏低,差异有统计学意义(P=0.036),但B组与C组患者在肠道准备中舒适度差异无统计学意义(P=0.921)。结论无痛肠镜术前3种不同时间口服复方聚乙二醇电解质散剂对肠道清洁度无影响,但分次口服聚乙二醇电解质散剂比单次服用不良反应小,患者容易接受,是比较理想、安全的无痛结肠镜前肠道准备方法。
[Abstract]:Objective to observe the effect and comfort of intestinal preparation by taking compound polyethylene glycol electrolyte powder at different time before painless endoscopy. Methods 173 patients with painless colonoscopy were collected and divided into 3 groups according to the time of taking compound polyethylene glycol electrolyte powder. Four boxes were taken at 22:00 one day before the examination in group A. The inspection time is 1 box at 20:00 the day before the examination in group 8: 30, 10: 30.B, and 3 boxes at 5:00 on the same day. The inspection time is 1 box at 20:00 the day before the examination in group C, and 3 boxes at 20:00 on the day of inspection. The inspection time is 13: 30, 15: 30, the same day. The colonic preparation quality was compared among the 3 groups and the comfort of the patients was evaluated. Results the clean adequacy rates of colon preparation were 61.4% and 72.7% in group A and C, respectively. There was no significant difference in subjective comfort between group B and group C, and the incidence of adverse reactions was lower in group B than in group A. The difference was statistically significant (P0. 036), but there was no significant difference between group B and group C in intestinal preparation (P0. 921). Conclusion three kinds of compound polyethylene glycol electrolyte powder at different time before painless endoscopy have no effect on intestinal cleanliness, but the adverse reaction of taking polyethylene glycol electrolyte powder at different times is less than that of single dose, and it is more acceptable to the patients. Safe painless bowel preparation before colonoscopy.
【作者单位】：清华大学第一附属医院消化内科;
【分类号】：R574

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