两种聚乙二醇电解质散服用方法在胶囊内镜检查前肠道准备中的临床效果对比  

Bowel preparations for capsule endoscopy:a comparison between two taking ways of polyethylene glycol electrolyte solution

作　　者：高雪峰[1] 王玉欣[1] 路国涛[1] 丁岩冰[1] 

机构地区：[1]扬州市第一人民医院消化内科,江苏扬州225001

出　　处：《胃肠病学和肝病学杂志》2012年第12期1147-1150,共4页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的观察两种聚乙二醇电解质散服用方法在胶囊内镜检查前肠道准备中的效果对比。方法以2011年10月1日-2012年3月31行胶囊内镜检查的46例患者为研究对象,采用单中心、前瞻性、单盲、随机对照研究方法,分为对照组A组(n=23)、实验组B组(n=23)。A组:检查前1天下午及检查当日早晨常规服用聚乙二醇电解质散(PEG);B组:只需检查当日早晨口服PEG。两组均常规服用祛泡剂复方阿嗪米特。观察两组患者肠道清洁度及耐受性。结果 A组肠道准备优良率为87.0%,B组为82.6%,两组差异无统计学意义(P>0.05)。A组出现恶心的比例为43.5%(B组为30.4%)、呕吐占43.5%(B组为34.8%)、腹胀占65.2%(B组为60.9%)、腹痛占56.5%(B组为43.5%),B组不适反应少于A组,但差异无统计学意义(P>0.05)。结论对于无慢性便秘史的患者,检查当日行肠道准备即可达到较理想的效果,患者有较好的耐受性。Objective To observe the clinical effects of 2 taking ways of polyethylene glycol electrolyte solution in small-bowel preparation for capsule endoscopy.Methods This was a single-center,prospective,investigator-blinded randomized study.46 patients in our hospital from Oct.2011 to Mar.2012 were randomly divided into group A and B.Group A was control group,receiving PEG 2 days,while group B was the experimental group which only having PEG on the inspect day morning.The two groups received same dose simethicone.The level of bowel cleanness,air bubbles and patients＇ tolerance were observed.Results There was no significantly difference between group A and B in the bowel cleanness and air bubbles（87.0 vs 82.6%,P0.05）,however,nausea,vomit were lower than that in group B.Conclusion Except for chronic constipation patients,one day polyethylene glycol electrolyte solution bowel preparation could be prescribed as an alternative method for bowel preparation before capsule endoscopy.

关 键 词：聚乙二醇电解质散 胶囊内镜 肠道准备 临床效果 耐受 

分 类 号：R57[医药卫生—消化系统]