| 周波,彭志,陈再林.不同肠道准备方式对结肠镜检查病人结肠动力学、Boston肠道准备量表评分及应用耐受度的影响比较[J].安徽医药,2017,21(3):507-510. |
| 不同肠道准备方式对结肠镜检查病人结肠动力学、Boston肠道准备量表评分及应用耐受度的影响比较 |
| Comparison of effects of different bowel preparation methods on colonic motility and Boston intestinal score in patients with colonoscopy |
| 投稿时间：2016-05-29 |
| DOI： |
| 中文关键词: 肠道准备 结肠镜检查 结肠动力学 Boston肠道准备量表 耐受度 |
| 英文关键词: Bowel preparation Colonoscopy examination Colonic dynamics Boston bowel preparation scale Tolerance |
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| 中文摘要: |
| 目的 探讨不同肠道准备方式对结肠镜检查病人结肠动力学、Boston肠道准备量表(BBPS)及应用耐受度的影响,以期寻找最理想肠道准备方法。 方法 收集进行结肠镜检查病人200例,随机单盲取法将病人分为三组,对照组46例,给予清洁灌肠肠道准备,观察A组84例,给予复方聚乙二醇电解质散(PEG)联合酚酞片口服灌肠,观察B组70例,在观察A组基础上给予联合莫沙必利口服观察,由内镜操作师详细观察三组病人全结肠、左半结肠、横结肠及右半结肠清洁情况。检查毕由专人询问病人不适情况,以评定胃肠蠕动功能,同时询问病人可以承受情况,以评定耐受度。 结果 观察A、B组不同结肠段BBPS评分、肠腔内液体量评分、总分、耐受度均高于对照组(P<0.05),其中,对照组、观察A组、观察B组BBPS总分分别为(7.13±1.05)分、(8.73±0.95)分、(8.92±0.85)分,三组BBPS总分差异有统计学意义(F=57.678,P=0.000)；耐受度分别为58.70%、90.48%、90.00%,A、B组与对照组耐受度差异有统计学意义(χ2=18.240、15.643,P=0.000)。观察A、B组检查后不良反应发生率低于对照组(χ2=18.243、30.934,P=0.000)。 结论 PEG联合胃肠蠕动剂和缓泻药物疗效满意,可提高BBPS评分、提高病人耐受度、减低检查后不良反应及对胃肠动力学的影响,值得临床推广。 |
| 英文摘要: |
| Objective To investigate the effects of different bowel preparation methods on colonic motility,Boston bowel preparation (BBPS) and application tolerance in patients with colonoscopy,and thenfind the best method of bowel preparation. Methods Collected in our hospital in 2014 January 2015 in December was performed in 200 cases of patients with colonoscopy,randomized single blind extraction method,the patients were divided into 3 groups,control group (46 cases),giving cleaning enema bowel preparation,observed in a group of 84 cases,treated with compound polyethylene glycol electrolyte powder (PEG) combined with phenolphthalein tablets enema,was observed in the Bgroup (70 cases),in the observation group on the basis of given combined with Mosapride will benefit oral observation,the endoscopic operation division of detailed observation of three groups of patients with whole colon,left semi colon,transverse colon and right colon cleanliness.Check the patient by hand to ask the patients′discomfort,to assess the gastrointestinal motility function,while asking the patient can withstand the situation,in order to assess the degree of tolerance. Results The different colonic segments BBPS scores,luminal fluid volume score,total score and tolerance of the A,B group were higher than those of the control group (P<0.05),BBPS total scores of the control,A,B group were 7.13±1.05,8.73±0.95,8.92±0.85,respectively,and have statistically significant(F= 57.678,P=0.000).the tolerance of the control,A,B group were 58.70%,90.48%,90.00%,respectively,and have statistically significant(χ2=18.240,5.643,P=0.000).the incidence of adverse reactions of the A,B group lower than the control group(χ2=18.243,0.934,P=0.000). Conclusions Combined with gastrointestinal peristalsis of PEG agent and the laxative drug has satisfactory curative effect,can improve the BBPS scores,enhance the tolerance of patients,reduce examination,adverse reactions and on gastrointestinal dynamics influence,is worth the clinical promotion. |
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