三种肠道准备方法在胶囊内镜检查中的效果分析  

Comparison of the effects using three different bowel preparation methods on the outcomes of capsule endoscopy

作　　者：王选举[1] 丁平[1] 刘志[1] 许芳[1] 郭志国[1] 王龙[1] 曹杰[1] 代海萍[1] 辛毅[1] WANG Xuanju DING Ping LIU Zhi XU Fang GUO Zhiguo WANG Long CAO Jie DAI Haiping XIN Yi(Department of Gastrointestinal Medicine, Suzhou Munieiple Hospital, Suzhou 234000, Chin)

机构地区：[1]宿州市立医院消化内科,安徽宿州234000

出　　处：《皖南医学院学报》2016年第4期346-348,共3页Journal of Wannan Medical College

摘　　要：目的:了解不同肠道准备方法对胶囊内镜检查的影响。方法:将受检者随机分为A、B、C 3组,每组40例。A组单独服用磷酸钠盐口服溶液进行肠道准备;B组服用磷酸钠盐口服溶液+莫沙必利进行肠道准备;C组服用磷酸钠盐口服溶液+乳果糖口服液进行肠道准备。分别对各组肠道清洁度(气泡量、肠液清洁度、观察效果)进行分析并比较胶囊内镜通过胃及小肠时间。结果:3组患者肠道准备基本满足胶囊内镜检查要求;联用乳果糖组的清洁情况比其他两组有所改善,差异具有统计学意义(P=0.042);联用莫沙必利组的胃内通过时间及小肠通过时间均比其他两组有所缩短,差异具有统计学意义(P<0.05)。结论:磷酸钠盐口服液基本能达到胶囊内镜对肠道准备的要求;联用乳果糖能提高图像的清晰度,提高观察效果;同时加服促胃肠动力药物有助于缩短胶囊通过时间及检查时间。Objective： To investigate the effects using different intestinal preparation methods on the outcomes of capsule endoscopy.Methods： Patients undergoing capsule endoscopy were randomized into three groups（ group A,B and C,n = 40 for each）. Group A were simply administered with oral sodium phosphate solution for bowel preparation; group B,oral sodium phosphate solution plus mosapride; and group C,oral sodium phosphate solution plus lactulose liquid.Patients in the three groups were observed on the bowel cleaning effects（ including the intestinal air bubbles,purity of the intestinal juice and image quality） and the time of capsule endoscope to reach the stomach and small intestine.Results： Three different bowel preparations had met the quality of capsule endoscopy in general.Group C had better bowel cleanness than group A and B（ P = 0.042）,yet group B had early arrival of the capsule endoscope at the stomach and small intestine than group A and C（ P0.05）.Conclusion： Oral sodium phosphate solution for bowel preparation can satisfy the capsule endoscopy,and combined oral oral sodium phosphate solution with lactulose may improve the image quality.However,prokinetic mosapride can lead to reduced time in endoscopic examination.

关 键 词：胶囊内镜 肠道准备 乳果糖 莫沙必利 

分 类 号：R574[医药卫生—消化系统]