口服清洁肠道药物前进食对肠镜检查中肠道清洁度及患者血糖和耐受力的影响  

Influence of food intake before oral intestinal cleaning drugs on cleansing effect, blood glucose and tolerance during colonoscopy examination

作　　者：黄柳清[1] 李春联[1] 肖生翠[1] 

机构地区：[1]广东医学院附属医院消化内科,湛江524001

出　　处：《中国实用护理杂志》2013年第17期24-25,共2页Chinese Journal of Practical Nursing

摘　　要：【摘要】目的探讨经口服清洁肠道药物前进食半流食物对患者血糖、肠道清洁度及耐受力的影响。方法将准备进行肠道检查或经肠镜行肠道治疗的88例患者随机分为进食组（A组）和禁食组（B组）各44例，A组在口服清洁肠道药物前2．5h进食半流食物，B组在口服清洁肠道药物前禁食；在口服清洁肠道药物前及口服清洁肠道药物后6h分别监测2组患者的血糖；进行肠道检查或经肠镜行肠道治疗时评定肠道的清洁度，总结2组无法耐受而终止检查和治疗的患者数。然后对2组患者血糖、肠道清洁度、耐受力分别进行比较。结果A、B2组口服清洁肠道药物前后血糖比较有显著差异；2组肠道清洁度比较，无显著差异；2组患者耐受力比较有显著差异。结论经口服清洁肠道药物前2．5h进食半流食物对肠道清洁度无影响，但能明显升高血糖，提高患者肠道检查或治疗的耐受力，使肠道检查或治疗顺利完成。Objective To investigate the influence of oral intake of goop before oral intestinal cleaning drugs on blood glucose, cleansing effect and tolerance of patients. Methods 88 patients who were prepared for intestinal examination or bowel treatment with enteroscope were randomly divided into the food-intake group （group A） and the fasting group （group B） with 44 cases in each group. Group A was given goop 2.5 hours before oral intake of intestinal cleansing drugs, group B fasted before oral intake of in- testinal cleansing drugs. Blood glucose was monitored before as well as 6 hours after oral intake of intestinal cleansing drugs. Intestinal cleansing effect was evaluated during intestinal examination or bowel treatment with enteroscope. Cases of patients who ceased intestinal examination or bowel treatment with enteroscope due to intolerance were summarized. The blood glucose, cleansing effect and tolerance of patients were compared between two groups. Results There was significant difference in blood glucose between the two groups before and after oral intake of intestinal cleansing drugs. The cleansing effect showed no significant difference, but the difference of tolerance between two groups was significant. Conclusions Intake of goop 2.5 hours before oral intake of intestinal cleansing drugs does not affects intestinal cleansing effect, and it can obviously increase the blood sugar, improve tolerance of patients, thus ensure the smooth com- pletion of intestinal examination or bowel treatment with enteroscope.

关 键 词：进食 电子肠镜 肠道清洁度 血糖 耐受力 

分 类 号：R57[医药卫生—消化系统]