三种清肠方法在结肠镜检查中的效果分析  

Efficacy of three intestinal preparation methods for colonoscopy

作　　者：沈军权 徐焕军[1] Jun-Quan Shen;Huan-Jun Xu(Department of Anorectal Surgery,Yuyao People＇s Hospital,Yuyao 315400,Zhejiang Province,China)

机构地区：[1]余姚市人民医院肛肠外科,浙江省余姚市315400

出　　处：《世界华人消化杂志》2018年第29期1723-1728,共6页World Chinese Journal of Digestology

基　　金：余姚市人民医院重大项目,No.2017ZA01~~

摘　　要：目的比较三种肠道准备方法的优劣,进而为患者选择安全、有效、快捷的肠道准备方法.方法随机将2017-08/2018-01在浙江省余姚市人民医院肛肠外科接受结肠镜检查105例患者分为A、B、C三组,分别服用磷酸钠盐、复方聚乙二醇电解质散、复方聚乙二醇电解质散+硫酸镁.通过对患者采取调查问卷的方式,评价三种清肠剂的不良反应;由内镜操作医师评价肠道清洁效果及肠道气泡量.结果 A组、C组在肠道清洁方面明显优于B组(P <0.05); A组的不良反应方面明显小于C组(P <0.05), A组与B组、B组与C组差异无统计学意义(P>0.05);在肠道气泡方面A、B、C三组差异无统计学意义(P>0.05).结论磷酸钠盐、复方聚乙二醇电解质散+硫酸镁的清肠效果优于复方聚乙二醇电解质散,且磷酸钠盐服用液体量少,肠道不良反应轻,应作为临床首选.AIM To compare the advantages and disadvantages of three intestinal preparation methods for colonoscopyto identify the safest, simplest and fastest intestinal preparation method.METHODS A total of 105 patients undergoing colonoscopy at Department of Anorectal Surgery, Yuyao People＇s Hospita between August 2017 and January 2018 were randomly divided into groups A, B and C, which were orally administrated with sodium phosphate, compound polyethylene glycol electrolytes powder, and compound polyethylene glycol electrolytes powder ＋ magnesium sulphate, respectively. Adverse reactions of the three intestinal cleansers were evaluated using questionnaires. Intestinal cleansing effect and intestinal bubble volume were evaluated by endoscopic surgeons.RESULTS Intestinal cleansing effect in groups A and C was superior to that of group B（P〈0.05）. Adverse reactions in the group A were obviously less than those in group C（P〈0.05）, although there was no statistically significant difference between group A and group B or between group B and group C（P〈0.05）. Intestinal bubble volume presented no statistically significant difference among groups A, B and C（P〈0.05）.CONCLUSION Intestinal cleansing effect of sodium phosphate and compound polyethylene glycol electrolytes powder ＋ magnesium sulphate is superior to compound polyethylene glycol electrolytes powder. Moreover, sodium phosphate is characterized by low dose and mild intestinal adverse reactions; therefore, it should be the first choice in clinical practice.

关 键 词：磷酸钠盐 复方聚乙二醇 硫酸镁 肠道清洁效果 

分 类 号：R574.62[医药卫生—消化系统]