聚乙二醇电解质散肠道准备无效因素分析

发布时间：2019-06-30 22:03

【摘要】：目的明确影响聚乙二醇电解质散肠道准备质量的患者因素。方法 2013年1月-2013年6月收集416例接受结肠镜检查口服2 000 ml复方聚乙二醇电解质散进行肠道准备的患者,采用Boston肠道准备量表对右半结肠(盲肠和升结肠)、横结肠(包括肝曲和脾曲)、左半结肠(降结肠、乙状结肠和直肠)进行评分,并记录患者年龄、性别、是否住院、腹部手术史、肠道准备期间活动情况、有无便秘和结肠镜检查前2周内服药史。结果肠道准备无效率为47.8%。住院状态、年龄大于60岁、阑尾切除术、腹部多次手术史以及慢性便秘史是肠道准备无效的危险因素。结论识别高危患者,进行个体化处理,有助于提高肠道准备质量。
[Abstract]:Objective to determine the factors affecting the intestinal preparation quality of polyethylene glycol electrolyte powder. Methods from January 2013 to June 2013, 416 patients were examined by colonoscopy for intestinal preparation with 2000 ml compound polyethylene glycol electrolyte powder. The right colon (cecum and ascending colon), transverse colon (including liver curvature and spleen curvature), left hemicolon (descending colon, sigmoid colon and rectum) were evaluated with Boston intestinal preparation scale, and the age, sex, hospitalization and history of abdominal operation were recorded. During intestinal preparation, there was no history of constipation and colonoscopy within 2 weeks before colonoscopy. Results the ineffective rate of intestinal preparation was 47.8%. Hospitalization, over 60 years old, appendectomy, multiple abdominal surgery and chronic constipation were risk factors for ineffective intestinal preparation. Conclusion it is helpful to improve the quality of intestinal preparation by identifying high risk patients and individualized treatment.
【作者单位】：安徽医科大学第二附属医院消化内科;安徽医科大学第二附属医院内镜中心;安徽医科大学流行病与统计教研室;
【基金】：安徽医科大学校科研基金资助项目(No:2012xkj063)
【分类号】：R574.62

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