结肠镜检低血糖发生率及肠内营养素预防低血糖的研究  

Incidence of hypoglycemia during colonoscopy and the prevention of hypoglycemia by enteric nutrients

作　　者：梁丽[1] 仲威龙 方琳 肖璐[1] 李颖[1] 田凤颖 张琪[1] 卢雪乐 王邦茂[1] Liang Li;Zhong Weilong;Fang Lin;Xiao Lu;Li Ying;Tian Fengying;Zhang Qi;Lu Xuele;Wang Bangmao(Department of Gastroenterology and Hepatology,Tianjin Medical University General Hospital,Tianjin Institute of Digestive Disease,Tianjin Key Laboratory of Digestive Disease,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院消化内科,天津市消化疾病研究所,天津市消化病学重点实验室,300052

出　　处：《中华消化内镜杂志》2021年第12期1018-1020,共3页Chinese Journal of Digestive Endoscopy

基　　金：国家自然科学基金面上项目(81970477);国家自然科学基金青年项目(82000511);天津市教育委员会科研计划项目(2019KJ197);天津市赵以成医学科学基金青年孵育项目(ZYYFY2019010)。

摘　　要：比较结肠镜检患者一次清肠和二次清肠的低血糖发生率及肠内营养素膳食在结肠镜检查中对低血糖发生的预防效果和对肠道准备质量的影响。将入院进行结肠镜检查的患者分为一次清肠组、二次清肠组、二次清肠+肠内营养素膳食(半固态预包装营养食品)组(简称干预组)。所有患者在结肠镜检查前测血糖,检查束后通过波士顿肠道准备评分量表评价肠道清洁度。结果,结肠镜检患者低血糖发生率在一次清肠组、二次清肠组、干预组分别为14.38%(23/160)、17.50%(28/160)、6.45%(4/62)。肠道清洁度高者所占比例在一次清肠组、二次清肠组、干预组分别为31.25%(50/160)、35.00%(56/160)、82.26%(51/62)。可见,相比于一次清肠患者,二次清肠患者低血糖发生率增高,而肠内营养素干预能够有效地降低低血糖发生率,同时提高患者肠道准备质量,是一种值得推荐的肠道准备方法。To compare the incidence of hypoglycemia between day-before bowel preparation and split-dose bowel preparation in colonoscopy patients.The effects of enterald ietary nutrients on the prevention of hypoglycemia and the preparation quality of the intestine during colonoscopy were compared.The patients who underwent colonoscopy were divided into the day-before bowel preparation group,the split-dose bowel preparation group,and the split-dose bowel preparation+enteral nutrient diet group.All patients had their finger blood sugar tested before colonoscopy.The peripheral blood glucose level was measured before operation.After the endoscopic examination,the intestinal cleanliness of the patients was evaluated through the Boston intestinal preparation scale by endoscopists.The incidence of day-before bowel preparation group and split-dose bowel preparation group and enteral nutrient intervention group were 14.38%(23/160),17.50%(28/160)and 6.45%(4/62),respectively.The proportions of high quality intestinal cleaning were 31.25%(50/160),35.00%(56/160)and 82.26%(51/62)in the three groups respectively.The incidence of hypoglycemia was higher in split-dose bowel preparation group than that in day-before bowel preparation group.Enteral nutrient intervention can effectively reduce the incidence of hypoglycemia and improve the quality of intestinal preparation,which is a recommended intestinal preparation method.

关 键 词：结肠镜检查 低血糖症 肠道营养 肠道清洁度 

分 类 号：R459.3[医药卫生—治疗学] R574.62[医药卫生—临床医学]