结肠镜诊疗术前肠道准备的效果观察  

Observations in the Effect of Bowl Preparation before the Diagnosis and Treatment of Colonoscopy

作　　者：何利[1] 李雪莲[1] 

机构地区：[1]四川绵阳四O四医院——川北医学院附属第二医院胃镜室,四川绵阳621000

出　　处：《中国伤残医学》2015年第17期32-33,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨结肠镜诊疗术前的最佳肠道准备方法，提高结肠镜诊疗效果。方法：将行结肠镜检查需要肠道准备的120例患者，随机分为A组、B组和C组各40例，A组肠道准备采用复方聚乙二醇电解质散，B组肠道准备采用甘露醇，C组肠道准备采用硫酸镁。观察并详细记录各组肠镜检查中肠道清洁程度，以及患者的耐受情况。结果：A组肠道清洁度有效率为90．D％，高于B组的75．0％和C组的70．0％；A组的耐受度为95．O％，高于B组的77．5％和C组的75．0％。A组与B组和C组比较，在清洁效果与病人耐受方面差异有统计学意义（P〈0．05）；B组与C组在清洁效果与耐受方面差异均无统计学意义（P〉0．05）。结论：口服复方聚乙二醇电解质散的肠道准备效果满意，病人耐受好，能提高结肠镜诊疗效果。Objective： To study the most effective method of bowel preparation in the diagnosis and treatment of colonoscopy, and increase the success rate of colonoscopy. Methods： A total of 120 patients undergoing colonoseopy were randomly and equally divid- ed into groups A, B and C. They were given compound polyethylene glycol electrolyte powder（ group A） , mannitol （ group B） , and magnesium sulfate （ group C ） as bowel preparation medication respectively. During the bowel preparation the effect of bowel preparation, patient compliance were observed and recorded in detail. Results： The effective rate of bowel cleanness in group A was 90.0% ,higher than 75.0% in group B and 70.0% in group C. The effective rate of patient compliance in group A was 95.0% , higher than 77.5% in group B and 75.0% in group C, There were no significant differences in the bowel cleanness and patient com- pliance between group B and group C （ P 〉 0.05 ）, but there were significant differences comparing group A with group B and group C （ P 〈 0.05 ）. Conclusion： The application of compound polyethylene glycol electrolyte powder in bowel preparation is effective, with good compliance and high colonoscopy success rate.

关 键 词：肠道准备 结肠镜检查 复方聚乙二醇电解质散 甘露醇 硫酸镁 

分 类 号：R574.62[医药卫生—消化系统]