结肠镜检查患者肠道准备合格率及其影响因素  

Qualified rate of bowel preparation for colonoscopy and its influential factors

作　　者：吴园园[1] 赵忠艳[1] 夏盛隆[1] 胡静[1] Wu Yuanyuan;Zhao Zhongyan;Xia Shenglong;Hu Jing(Endoscopic Center,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325100,Zhejiang Province,China)

机构地区：[1]温州医科大学附属第二医院内镜中心,325100

出　　处：《中国基层医药》2021年第1期14-18,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市公益性科技计划项目(Y20160102)。

摘　　要：目的:探讨内镜中心结肠镜检查患者肠道准备的合格率及其影响因素,为临床诊疗提供相关参考。方法:选取2019年5-10月于温州医科大学附属第二医院内镜中心行结肠镜检查的患者158例为研究对象。采用Boston肠道准备量表(BBPS)对患者肠道准备状况进行评分,并分析患者肠道准备合格率及其影响因素。结果:患者肠道准备的合格率为72.15%(114/158),BBPS评分为(5.86±1.17)分。单因素分析显示:文化程度、便秘史、服药后是否主动运动、运动习惯、开始服药-首次排便的时间间隔、服药后排便次数、是否完整服药、服药到检查时间间隔、最后一次粪便形状、检查前1 d饮食摄入均对患者肠道准备合格率有影响[χ^(2)(t)=5.572、12.326、17.135、7.646、(15.107)、(6.826)、11.114、12.294、11.063、17.625,均P<0.05];logistic多因素回归分析显示:开始服药-首次排便的时间间隔长、服药后排便次数少、未完整服药、服药到检查时间间隔长、最后一次粪便形状为残渣或黄水、检查前1 d高纤维饮食均是导致患者肠道准备合格率低的独立危险因素(OR=2.917、2.091、8.527、3.184、10.111、2.134,均P<0.05)。结论:内镜中心结肠镜检查患者肠道准备的合格率不高,BBPS评分较低。多种独立危险因素会影响患者肠道准备质量,降低其肠道准备合格率,应对此类患者采取针对性措施,促进其肠道准备质量的提高。Objective To investigate the qualified rate of bowel preparation for colonoscopy and its influential factors in patients undergoing colonoscopy,so as to provide relevant reference for clinical diagnosis and treatment.Methods A total of 158 patients who underwent colonoscopy in the Endoscopy Center of the Second Affiliated Hospital of Wenzhou Medical University from May to October 2019 were included in this study.Boston Bowel Preparation Scale(BBPS)was used to evaluate the bowel preparation status for colonoscopy,and the qualified rate of bowel preparation and its influential factors were analyzed.Results The qualified rate of bowel preparation was 72.15%(114/158),and the BBPS score was 5.86±1.17.Univariate analysis showed that education level,history of constipation,active exercise after taking medicine,exercise habit,time interval between taking medicine and first defecation,defecation frequency after taking medicine,whether taking medicine compliantly,time interval between taking medicine and examination,shape of feces at the last time,dietary intake 1 day before examination affected the qualified rate of bowel preparation[χ^(2)(t)=5.572,12.326,17.135,7.646,15.107,6.826,11.114,12.294,11.063,17.625,all P<0.05].Logistic multivariate regression analysis showed that long time interval between taking medicine and first defecation,low defecation frequency after medication,no compliant medication,long time interval between medication and examination,residue-like or yellow watery stool at the last time,and a high-fiber diet 1 day before examination were the independent risk factors of low qualified rate of bowel preparation(OR=2.917,2.091,8.527,3.184,10.111,2.134,all P<0.05).Conclusion The qualified rate of bowel preparation in patients undergoing colonoscopy is not high,and BBPS score is very low.A variety of independent risk factors affect the quality of bowel preparation and decrease the qualified rate of bowel preparation.Targeted measures should be taken to improve the quality of bowel preparation.

关 键 词：结肠镜检查 灌肠 灌洗疗法 聚乙烯二醇类 肠道准备 合格率 影响因素 

分 类 号：R574.62[医药卫生—消化系统]