麻醉结肠镜检查传统单次和分次肠道准备患者的胃液残余量比较  

Comparison of the gastric residual volume between conventional single-dose and split-dose bowel preparation before colonoscopy under general anesthesia

作　　者：程春生[1] 薛仕贵 张厚德 董卫国[1] 

机构地区：[1]武汉大学人民医院消化内科,430060 [2]深圳市南山区人民医院消化内科

出　　处：《中华消化杂志》2017年第12期812-815,共4页Chinese Journal of Digestion

摘　　要：目的探讨麻醉结肠镜检查前行分次肠道准备和传统单次肠道准备患者胃液残余量（GRV）的差异。方法连续选取2016年10月8日至12月30日行择期性同日麻醉胃镜及结肠镜检查的门诊患者，分成传统单次肠道准备组和分次肠道准备组。比较两组患者的GRV和肠道准备质量情况。统计学方法采用t检验，并以多元线性回归分析GRV的影响因素。结果共纳入121例患者，其中分次肠道准备组60例，传统单次肠道准备组61例。分次肠道准备组的GRV为（17.3±12.2） mL，低于传统单次肠道准备组的（23.7±14.6） mL，差异有统计学意义（t＝2.642，P＝0.009）。分次肠道准备组的肠道准备质量评分为（8.05±0.85）分，高于传统单次肠道准备组的（7.67±1.19）分，差异有统计学意义（t＝－2.002，P＝0.048）。空腹时间与GRV有关（OR＝1.732，95%CI 0.299～3.168，P＝0.018）。结论麻醉结肠镜检查前行分次肠道准备患者的GRV低于传统单次肠道准备患者，因而不会增加麻醉误吸的风险。ObjectiveTo explore the difference in gastric residual volume （GRV） between single-dose and split-dose bowel preparation before colonoscopy under general anesthesia.MethodsFrom October 8th to December 30th in 2016, the out-patients undergoing gastroscopy and colonoscopy with anesthesia services on the same day were selected and divided into the traditional single-dose bowel preparation group and split-dose bowel preparation group. The GRV and intestinal preparation quality were compared between the two groups. T test was used for statistical analysis and multiple linear regression analysis was performed for the influence factors of GRV analysis.ResultsA total of 121 patients were enrolled, 60 patients in the spilt-dose bowel preparation group and 61 in the traditional single-dose bowel preparation group. The mean GRV of the split-dose bowel preparation group was （17.3±12.2） mL, which was lower than that of the single-dose bowel preparation group （（23.7±14.6） mL）, and the difference was statistically significant （t=2.642, P=0.009）. The score of intestinal preparation quality of the split-dose bowel preparation group was 8.05±0.85, which was higher than that of the single-dose bowel preparation group （7.67±1.19）, and the difference was statistically significant （t=-2.002, P=0.048）. Fasting time was related with GRV （odd ratios （OR）=1.732, 95% confidence interval （CI） 0.299 to 3.168, P=0.018）.ConclusionThe GRV of patients with split-dose bowel preparation before colonoscopy is lower than that of traditional single-dose bowel preparation, thus reducing the risk of aspiration during anesthesia.

关 键 词：分次肠道准备 胃液残余量 麻醉肠镜 

分 类 号：R574[医药卫生—消化系统]