3种肠道准备方法对便秘患者结肠镜检查的效果分析  

Effective analysis of three kinds of bowel preparation on colonoscopy in patients with constipation

作　　者：涂天兰 康明祥[1] 

机构地区：[1]泸县人民医院,四川泸县646100

出　　处：《现代医药卫生》2011年第10期1488-1489,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨3种肠道准备方法对便秘患者结肠镜检查的效果。方法:将我院结肠镜检查的146例便秘患者随机分为3组:口服硫酸镁粉组(A组)49例、口服复方聚乙二醇电解质散组(B组)49例和口服甘露醇组(C组)48例。观察和比较3组患者的肠道清洁程度和不良反应。结果:A组肠道准备有效率为87.76%,高于B组71.43%(P<0.05)和C组77.08%。C组患者腹胀发生率最高,与B组比较差异有显著性(P<0.05)。A组腹胀和恶心发生率均高于B组(P<0.05)。结论:口服硫酸镁效果好、价格低廉,可作为便秘患者结肠镜检查前的首选肠道准备方法。Objective：To evaluate the effect of three kinds of bowel preparation for electronic colonoscopy in the patients with constipation.Methods：146 patients with constipation were randomly divided into three groups,49 cases in the experimental group（A）,49 cases in the control group 1（B） and 48 in the control group 2（C）.A group was given oral Magnesium Sulfate Powder,but B and C groups were administered with Polyethylene Glycol Electrolytes Powder and mannitol.Intestinal cleanliness and tolerance were observed.Results： The effective rate was 87.76% in A group,which was higher than B group（71.43%） and C group（77.08%）,and the difference between A group and B group was significant（P0.05）.The incidence rate of abdominal distension in C group was highest,showing significant difference compared with B group（P0.05）.The incidence of abdominal distension and nausea in A group was significantly different from B groups（P0.05）.Conclusion： Oral Magnesium Sulfate Powder has the advantages of low cost and high efficiency,which could be used as the preferred bowel preparation before colonoscopic detection in the patients with constipation.

关 键 词：电子肠镜 便秘 硫酸镁粉 复方聚乙二醇电解质散 甘露醇 

分 类 号：R47[医药卫生—护理学]