结肠镜检查前肠道准备效果的评估探讨  

作　　者：郑华琴[1] 程晓妹[1] 冯婕[1] 葛秀华[1] 杨关根[1] 汪长健[1] 

机构地区：[1]杭州市第三人民医院,310009

出　　处：《浙江临床医学》2020年第12期1795-1797,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨手机照片肠道准备评估方式在结肠镜检查前的应用效果。方法选择接受结肠镜检查的834例患者为观察对象,按随机数字表法1:1比例分为观察组和对照组。观察组根据末次排便性状的照片评估肠道准备,对照组按问诊方式进行肠道准备评估;合格者行结肠镜检查,不合格者经再次肠道准备并评估合格后行结肠镜检查。结果观察组结肠镜检查前肠道首次评估合格者247例,对照组266例,经结肠镜检查证实合格者(BBPS≥6分)观察组为202例,对照组为196例;观察组首次评估不合格者43例,对照组24例,经再次肠道准备后,分别通过照片和问诊评估,证实所有患者均排出深色粪水。结论基于照片的肠道准备评估方法准确率高,耗时少,可以提高结肠镜的检查质量。Objective To investigate the application of image-based bowel preparation asessment in colonoscopy.Methods 834 Patients who underwent colonoscopy in endoscopy center of Hangzhou Third People's Hospital were selected in the research.For those who met the research criteria,randomized digital table were used to divide into the study and control group according to the ratio of 1:1.The bowel preparation assment of study group was according to the image of last defecation,while the control group evaluated by interrogation.Qualified patients underwent colonoscopy,and the remaining underwent colonoscopy after one more bowel preparation and assessment.Results 247 patients passed the first asssment before colonoscopy in the study group,while 266 patients of control group.202 patients were proved to be qualified(BBPS≥6 points)by colonoscopy in the study group,and 196 patients in the control group.There were 43 and 23 patients whofailed the first assment in the two groups respectively.After the second bowel preparation,all patients were confirmed to have excreted dark fecal water through image and interrogation assessment.Conclusion The application of image-based assmnent on bowel preparation is more accurate and less time-consuming,which improves the quality of colonoscopy.

关 键 词：手机照片 肠道准备 波士顿量表 结肠镜检查 

分 类 号：R57[医药卫生—消化系统]