结肠镜检查前不同饮食对肠道清洁度的影响  

Effect of dietary categories on the intestinal cleanliness before the colonoscopy

作　　者：沙菊艳[1] 李秀芬[3] 邓颖[2] 

机构地区：[1]首都医科大学护理学院2007级护理专业学生,100069 [2]首都医科大学护理学院,100069 [3]首都医科大学附属北京朝阳医院消化科,100020

出　　处：《中华现代护理杂志》2012年第36期4381-4384,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨结肠镜检查前饮食种类对肠道清洁度的影响，以及患者对饮食改变的接受程度和肠道准备过程中不良反应发生情况。方法94例接受结肠镜检查的患者按结肠镜前1d晚餐的不同进食情况随机分为普食组30例、半流食组32例和禁食组32例。观察3组患者、服药剂量、饮水量、不良反应以及其对不同饮食情况的接受程度，并观察肠道清洁度。结果3组患者服药剂量、饮水量、肠道清洁度比较差异均无统计学意义（P〉0．05）；普食组、半流食组、禁食组中出现乏力现象的患者分别为4，14，13例，饮食改变所致不适感患者分别为1，8，5例，3组间比较差异均有统计学意义（χ2值分别为7．765，20．623；P〈0．05）；其他不良反应的发生情况比较差异无统计学意义（P〉0．05）。结论饮食种类对结肠镜检查肠道清洁度无影响，但在服用缓泻剂前根据患者情况进食普食，可增加患者的舒适感，但要注意饮食限制。Objective To explore the effect of dietary categories on effectiveness of the intestinal cleanliness before the colonoscopy, patients＇ acceptance of dietary changes and adverse reactions in bowel preparation. Methods Totals of 94 patients who underwent colonoscopy were divided into normal diet group （ n = 30）, semi-liquid food group （ n = 32） and fasting group （ n = 32） according to the dinner diet styles the day before the colonoscopy. Observed three groups of adverse reactions, patients＇ acceptance and intestinal cleanliness. Results No significant difference was found in the medicine dosage, water intake, intestinal cleanliness among the three groups （P 〉 0.05 ）. The cases of fatigue phenomenon and discomfort on dietary changes in normal diet group were 4 and 1, in semi-liquid food group were 14 and 8, in fasting group were 13 and 5, and the difference was statistically significant （ χ2 = 7. 765,20. 623, respectively ; P 〈 0.05 ）. While no significant difference was found in the incidence of other adverse reaction among the three groups （ P 〉 0.05 ）. Conclusions Dietary categories are no effect on the intestinal cleanliness of the colonoscopy. However, according to the conditions of the patients before taking laxatives poly would increase their comfort under certain dietary restrictions.

关 键 词：结肠镜检查 饮食种类 肠道清洁度 不良反应 饮水量 服药剂量 

分 类 号：R574.62[医药卫生—消化系统]