结肠镜检查两种食物对肠道清洁度影响的比较  

A comparative study of effect of prepackaged diet and low-residue diet on intestinal cleanliness of colonoscopy

作　　者：李晓亮[1] 唐红卫[2] 陈晓光[2] 吴丽莎[2] 张龙[2] 

机构地区：[1]武警北京总队第三医院门诊部,100141 [2]武警总医院消化内科,北京100039

出　　处：《武警医学》2017年第3期244-246,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的比较两种饮食准备方法对结肠镜检查肠道清洁效果的影响。方法选取2016-01至2016-12武警北京总队第三医院和武警总医院150例拟行结肠镜检查的患者,随机分为A、B两组,各75例。A组(预包装饮食组)检查前1 d三餐摄入预包装食物,B组(自备低渣饮食组)检查前1 d摄入自备低渣饮食,两组清肠液均采用复方聚乙二醇电解质散4 L,于检查当日晨口服,比较两组患者肠道清洁程度。并采用渥太华评分量表对左半结肠、横结肠、右半结肠清洁度及液体量进行评分,得出综合评分,进行统计学分析。结果预包装饮食组肠道清洁度总分优于自备低渣饮食组(3.32±1.41 vs 5.54±0.91),差异有统计学意义(P<0.05),其中,预包装饮食组左侧结肠及右侧结肠清洁度优于自备低渣饮食组(P<0.05),横结肠清洁度两组比较无统计学差异。结论结肠镜检查预包装饮食与自备低渣饮食相比,清肠效果更佳,安全有效,适用人群范围更广。Objective To compare the effect of colon cleaning with two different dietary regimens intended for colonoscopy. Methods One hundred and fifty patients undergoing colonoscopy were randomized into two groups in a prospective, single-blind, and controlled trial. Patients of group A received a prepakaged diet while group B received a self-made low-residue diet. All the patients re- ceived 4 liters of compound polyethylene glycol electrolyte power（PEG） on the day of eolonoseopy. Results The colon cleanliness of the prepackaged diet group was better than that of the low -residue diet group, and the difference was statistically significant （P 〈 0.05 ）. the cleanliness of the left colon and the right colon was better than that of low-residue diet group （ P 〈 0.05 ）, but there was no significant difference in transverse colon cleanliness between the two groups. Conclusions The prepackaged diet is safe, effective and superior to the low-residue diet for bowel preparation for eolonoseopy, and can be used by larger populations.

关 键 词：肠道准备 结肠镜 预包装饮食 低渣食物 

分 类 号：R574.62[医药卫生—消化系统]