结肠镜术前应用西甲硅油的效果分析  

Application of simethicone before colonoscope examination

作　　者：杨祯玲[1] 赵妙[2] 黄七任 雷平光[1] 朱芬[4] Zhen-ling Yang;Miao Zhao;Qi-ren Huang;Ping-guang Lei;Fen Zhu(Department of Internal Medicine;Department of Endoscopy Room;Department of Emergency Medicine, Songgang People’s Hospital, Shenzhen, Guangdong 518100, China;Department of Internal Medicine, the Second People’s Hospital, Guangzhou, Guangdong 510000, China)

机构地区：[1]广东省深圳市宝安区松岗人民医院内二科,广东深圳518100 [2]广东省深圳市宝安区松岗人民医院内镜室,广东深圳518100 [3]广东省深圳市宝安区松岗人民医院急诊科,广东深圳518100 [4]广东省第二人民医院内科,广东广州510000

出　　处：《中国内镜杂志》2017年第4期26-29,共4页China Journal of Endoscopy

基　　金：深圳市宝安区科技局项目(No:2016cx087;2016cx092);广东省医学科学技术研究基金(No:A2014113)

摘　　要：目的探讨结肠镜检查术前应用西甲硅油联合复方聚乙二醇电解质散的临床价值。方法选取2013年10月-2015年12月于该院行结肠镜检查术的患者106例,随机分为观察组与对照组,每组各53例。对照组患者术前单纯口服复方聚乙二醇电解质散,观察组患者则联合使用西甲硅油和复方聚乙二醇电解质散。分别记录两组患者的术前肠道准备评分、病变检出情况以及患者各项肝肾功能和电解质变化。结果观察组患者术前肠道准备满意率高于对照组患者(P<0.05),且病变检出率也高于对照组(P<0.05)。两组患者检查过程中均无明显不良反应。结论西甲硅油可以祛除肠道气泡,与复方聚乙二醇电解质散联合应用于结肠镜检查术前,可显著提升肠道清洁效果,改善结肠镜图像,提高病变检出率。Objective To explore the application effect of simethicone combined with compound polyethylene glycol electrolyte powder before colonoscope examination.Methods106cases underwent colonoscope examination from October2013to December2015were enrolled in the study.Then all the cases were divided into2groups randomly,each with53cases.Patients in the control group were treated with simple oral administration of compound polyethylene glycol electrolyte powder,patients in observation group were combined using simethicone and polyethylene glycol electrolyte powder.The preoperative bowel preparation score,lesion detection and the changes of liver and renal function and electrolyte in the two groups were recorded respectively.Results Patients in the observation group were better than the control group in both the bowel preparation score and the detection rate(P<0.05).There were no obvious adverse reactions in the course of the two groups.Conclusions Simethicone can eliminate intestinal bubbles,and combined use with polyethylene glycol electrolyte powder before colonoscope examination can significantly improve intestinal cleaning effect,improve the colonoscope examination image,enhance the detection rate of lesions.

关 键 词：结肠镜 西甲硅油 复方聚乙二醇电解质散 检出率 

分 类 号：R656.9[医药卫生—外科学]