加味大承气汤和硫酸镁联合肠道准备对大肠超声内镜检查的应用价值  

The Application Value of Combination of Extra-large Chengqi Decoction and MgSO4 in EUS for Large Intestine

作　　者：宗巍[1] 周文琴[1] 李冰[1] 殷泙[1] 

机构地区：[1]上海中医药大学附属龙华医院内镜中心,200032

出　　处：《中国消化内镜》2007年第11期8-11,共4页Digestive Disease and Endoscopy

摘　　要：目的根据大肠EUS检查对肠道准备的要求,选择肠道准备药物对肠道清洁程度、肠道清洁范围和肠道准备药物的可行性和安全性进行初步评价。方法181例常规大肠镜检查者肠道准备前随机对照非盲法分A组(大承气汤)、B组(硫酸镁)、C组(番泻叶)和D组(联合A组与B组)。常规大肠镜检查评估肠道清洁程度(甲～丁级)和清洁范围(0～4度),服药后不良反应的观察。结果D组甲级肠道清洁程度最理想95.7%,依次B组34.8%、A组31.1%和C组22.7%(P<0.01)。肠道清洁范围最大为D组93.5%,明显高于B组19.6%、A组11.1%、C组6.8%(P<0.01)。C组的不良反应明显高于A组、B组、D组(P<0.01)。C组的恶心呕吐与A组比较有显著性差异(P<0.05)。结论加味大承气汤和硫酸镁联合肠道准备,不论在肠道清洁程度和清洁范围方面,还是在服药后的不良反应方面,均已达到大肠EUS检查的要求。Objective: According to bowel preparation request of EUS,to have a preliminary assessment for the line and safe of clearing-degree of intestinal tract,and clearing-extent of intestinal tract with choosing different drugs. Methods: 181 normal pre-total colonoscopy patients are divided into 4 groups by randomly/control and un-blindly.(group A by extra-large Chengqi Decoction;group B by MgSO4;group C by folium sennae;and group D by the combination of A and B).To evaluate the clearing-degree of intestinal tract...

关 键 词：加味大承气汤 硫酸镁 大肠超声内镜 肠道准备 

分 类 号：R574.62[医药卫生—消化系统]