消胀通便散脐部贴敷联合聚乙二醇电解质散对结肠镜前肠道准备的影响  

Effect of Umbilical Application with Xiaozhang Tongbian Powder Combined with Polyethylene Glycol Electrolyte Powder on Bowel Preparation Before Colonoscopy

作　　者：曹巧[1] 全小明[1] 陈少璇 赵利娜[1] 莫干花 周金娟 李培武[1] CAO Qiao;QUAN Xiaoming;CHEN Shaoxuan;ZHAO Li'na;MO Ganhua;ZHOU Jinjuan;LI Peiwu

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《新中医》2021年第6期152-155,共4页New Chinese Medicine

基　　金：广东省中医药局科研项目(20182032)。

摘　　要：目的:观察消胀通便散脐部贴敷联合聚乙二醇电解质散(PEG)对结肠镜前肠道准备的影响。方法:选取100例行结肠镜检查的患者,随机分为观察组与对照组,每组50例。对照组于结肠镜检查前给予PEG口服,观察组在对照组基础上给予消胀通便散脐部贴敷。比较2组肠道残余粪水量、肠道泡沫量、首次排便时间、排出清水样大便时间、总排便次数,记录恶心呕吐、腹胀腹痛等不良反应发生率。结果:干预后,观察组肠道残余粪水量及肠道泡沫量Ⅰ级占比均为86.0%,明显优于对照组的52.0%和60.0%(P<0.05)。观察组首次排便时间、排出清水样大便时间均短于对照组(P<0.05)。2组总排便次数比较,差异无统计学意义(P>0.05)。观察组恶心呕吐发生率为26.0%,低于对照组的62.0%(P<0.05)。观察组腹痛腹胀发生率为88.0%,对照组腹痛腹胀发生率为80.0%,2组比较,差异无统计学意义(P>0.05)。结论:结肠镜前肠道准备时应用消胀通便散脐部贴敷联合PEG,能减少患者结肠镜检查过程中的残余粪水量及肠道泡沫量,缩短肠道准备时间,降低恶心呕吐发生率。Objective: To observe the effect of umbilical application with Xiaozhang Tongbian powder combined with polyethylene glycol electrolyte powder(PEG) on bowel preparation before colonoscopy. Methods: A total of 100 cases of patients undergoing colonoscopy were randomly divided into the observation group and the control group,50 cases in each group. Before colonoscopy, the control group was given the oral administration of PEG and the observation group was additionally given umbilical application with Xiaozhang Tongbian powder based on the treatment of the control group. The intestinal residual liquid dung volume,the intestinal foam volume,the first defecation time,the time of discharging waterlike stool and the total defecation times in the two groups were compared. The incidences of adverse reactions such as nausea and vomiting,abdominal distension and abdominal pain were recorded. Results:After intervention,the intestinal residual liquid dung volume and the intestinal foam volume of grade Ⅰaccounted for 86.0% respectively in the observation group,obviously superior to those of 52.0% and 60.0% respectively in the control group(P<0.05). The first defecation time and the time of discharging water-like stool in the observation group were shorter than those in the control group(P<0.05).There was no significant difference being found in the comparison of the total defecation times between the two groups(P>0.05). The incidence of nausea and vomiting was 26.0% in the observation group,lower than that of 62.0% in the control group(P<0.05). The incidence of abdominal pain and abdominal distension was 88.0% in the observation group and 80.0% in the control group;the comparison between the two groups showed no significant difference(P>0.05). Conclusion:During the bowel preparation before colonoscopy,the therapy of umbilical application with Xiaozhang Tongbian powder combined with PEG can decrease the volumes of intestinal residual liquid dung and intestinal foam, shorten the time of bowel preparation,and reduce the incidenc

关 键 词：结肠镜 肠道准备 脐部贴敷 聚乙二醇电解质散 肠道残余粪水量 肠道泡沫量 不良反应 

分 类 号：R244.9[医药卫生—针灸推拿学]