运动手环在老年人结肠镜检查肠道准备中的应用  

Application of sports bracelet in bowel preparation for colonoscopy in the elderly

作　　者：陈凤[1] 罗梅[1] 林芳[1] 黄秋香 CHEN Feng;LUO Mei;LIN Fang(Department of Gastroenterology,Fuzhou General Hospital of PLA,Fuzhou 350025,Chin)

机构地区：[1]中国人民解放军福州总医院消化内科,福建福州350025

出　　处：《安徽医学》2018年第7期889-892,共4页Anhui Medical Journal

基　　金：福建省自然科学基金项目(项目编号:2017J01321)

摘　　要：目的探讨运动手环在老年人结肠镜检查肠道准备中的应用价值。方法选择2017年2~7月中国人民解放军福州总医院门诊行结肠镜检查的老年患者(≥60岁)120例,按随机数字表法分为试验组和对照组,各60例。两组患者给予相同的饮食建议,肠道准备均选择聚乙二醇电解质散(PEG)等渗溶液3 L分次服用方案,检查前1天晚,服用1.5 L PEG(每10~15 min服用250 m L),当天检查前4~6 h,再以同样方式服用其余1.5 L。PEG服药期间,均鼓励适当走动。试验组要求每服用250 m L,至少走动200步以上,如条件允许,鼓励再增加走动;对照组按照现行肠道准备指南中意见,不做具体步数限制,只是鼓励适当走动。两组患者均佩戴运动手环监测服药期间走动步数,观察肠道准备过程中服药耐受情况,运用波士顿肠道准备量表(BBPS)评估结肠镜检查过程中肠道清洁质量。结果试验组服药期间走动步数、BBPS评分及肠道准备充分率(91.7%比76.7%)均高于对照组,差异有统计学意义(P<0.05);服药相关恶心、呕吐、腹胀、腹痛等不良反应的发生率均低于对照组,差异有统计学意义(P<0.05)。Pearson相关分析显示,BBPS评分与服药期间走动步数呈正相关(r=0.547,P<0.05)。结论通过运动手环监测老年人结肠镜检查肠道准备服药期间行走情况,可以量化步行运动,提高肠道准备质量和耐受性。Objective To investigate the application value of sports bracelet in bowel preparation for elderly patients undergoing colonoscopy. Methods A series of 120 elderly outpatient（ ≥ 60 years） who underwent colonoscopy were prospectively randomized into the experimental group and the control group according to the random digital table method,with 60 cases in each group. The two groups were given the same diet instruction and a 3-L split-dose polyethylene glycol（ PEG） for bowel preparation. The patients took 1. 5 L PEG（ 250 m L per 10 - 15 min） at night before colonoscopy,and then took the rest 1. 5 L for the same way at 4 - 6 h before colonoscopy. Proper walking was encouraged during the period of taking PEG. The experimental group was required to walk more than 200 steps after every drinking of 250 m L. If conditions permitted,they would be encouraged to walk again. The control group,according to the opinions of the current bowel preparation guidelines,did not make specific steps,but encouraged proper walking. The two groups wore sports bracelet to monitor the number of walking steps during the period of taking PEG. The tolerance for PEG taking was observed during the bowel preparation. The bowel cleaning quality was assessed using the Boston bowel preparation scale（ BBPS） during colonoscopy. Results In experimental group,the number of walking steps,BBPS score and the excellent rate of bowel preparation（ 91. 7% vs. 76. 7%） were higher than those in control group（ P〈0. 05）. The adverse reaction of nausea,vomiting,abdominal distension,and abdominal pain were significantly lower than those of control group（ P〈0. 05）. Pearson correlation analysis showed that there was a significant positive correlation between BBPS score and walking steps during the period of taking PEG（ r = 0. 547,P〈0. 05）. Conclusion Monitoring and quantifying the walking steps during taking bowel cleansing agents using sports bracelet before colonoscopy for the elderly,can quantify walking exercise and improve t

关 键 词：结肠镜检查 老年人 肠道准备 运动手环 

分 类 号：R473.5[医药卫生—护理学]