Bristol大便性状分型量表对拟行肠镜检查老年人肠道准备的指导价值  

Guidance value of Bristol Stool Form Scale for bowel preparation in elderly undergoing colonoscopy

作　　者：路琴[1] 季红莉[1] 黄慧[1] 陈明[1] 张汾燕[1] 谢瑞华 付万发[1] LU Qin;JI Hong-Li;HUANG Hui;CHEN Ming;ZHANG Fen-Yan;XIE Rui-Hua;FU Wan-Fa(Department of Gastroenterology,Beijing Geriatric Hospital,Beijing 100095,China)

机构地区：[1]北京老年医院消化内科,北京100095

出　　处：《中华老年多器官疾病杂志》2021年第9期665-668,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：北京市医院管理中心消化内科学科协同发展中心专项经费(XXT29)。

摘　　要：目的评价Bristol大便性状分型量表(BSFS)对老年人肠道准备质量的指导价值及强化肠道准备方案对Bristol大便性状1型及2型老年患者的效果及耐受性。方法选取2019年3月至12月于北京老年医院内镜中心预约肠镜检查的患者240例,采用随机数表法将Bristol大便性状1型及2型的患者分为A组、B组,其余3~7型患者为C组。A、C组应用聚乙二醇电解质散行标准肠道准备方案,B组应用聚乙二醇电解质散联合莫沙必利行强化肠道准备方案。采用肠道准备成功率、波士顿肠道准备评分(BBPS)、息肉检出率、进退镜时间及盲肠插管成功率评估患者肠道准备质量。记录患者不良反应发生情况、肠道准备满意度及重复肠道准备方案意愿。采用SPSS 19.0统计软件进行数据分析,3组间比较采用单因素方差分析或χ2检验。结果与A组相比,B、C组肠道准备成功率、BBPS、息肉检出率及盲肠插管成功率显著增高,进退镜时间显著降低,差异有统计学意义(均P<0.05)。与A组相比,C组肠道准备满意度、重复肠道准备方案意愿高(均P<0.05)。A、B组在恶心、腹胀发生率,肠道准备满意度及重复肠道准备方案意愿方面比较,差异有统计学意义(均P<0.05)。结论BSFS量表对老年肠镜检查患者肠道准备质量有一定指导价值,Bristol大便性状1型及2型的老年人行强化肠道准备方案有良好的效果及耐受性。Objective To evaluate Bristol Stool Form Scale(BSFS)in the quality assessment of bowel preparation for colonoscopy in the elderly,and determine the effectiveness and tolerance of our intensive bowel preparation for those with Bristol stool types 1 and 2.Methods A total of 240 patients who made an appointment for colonoscopy in our endoscopy center from March to December 2019 were enrolled in this study.The patients with Bristol stool types 1 and 2 were randomly divided into group A and group B,and the other with types 3-7 into group C.The patients from groups A and C were treated with polyethylene glycol electrolyte powder for standard intestinal preparation,and those out of group B were given the above powder combined with Mosapride as enhanced intestinal preparation.The quality of intestinal preparation was evaluated by success rate of intestinal preparation,Boston intestinal preparation score(BBPS),polyp detection rate,time between intubation and extubation,and success rate of cecal intubation.The occurrence of adverse reactions,satisfaction with intestinal preparation and willingness to repeat intestinal preparation were recorded.SPSS statistics 19.0 was used for data analysis,and one-way ANOVA or Chi-square test was applied for intergroup comparison.Results Compared with group A,the success rates of intestinal preparation and cecal intubation,BBPS,and polyp detection rate were significantly higher,and the time between intubation and extubation was obviously shorter in groups B and C(all P<0.05).The patients of group C had higher satisfaction level with intestinal preparation and willingness to repeat intestinal preparation scheme when compared with those of group A(all P<0.05).There were notable differences in the incidences of nausea and abdominal distention,satisfaction level with intestinal preparation and willingness to repeat intestinal preparation between groups A and B(all P<0.05).Conclusion BSFS has certain guidance value for the quality of intestinal preparation in elderly patients undergoing colono

关 键 词：老年人 肠镜检查 肠道准备 Bristol大便性状分型量表 

分 类 号：R574[医药卫生—消化系统]