关键点护理在结肠镜检查肠道准备中的应用效果  

Effect of Critical Care in Bowel Preparation for Colonoscopy

作　　者：赵伟贤[1] 麦燕华 黄素芬 Zhao Wei-xian;Mai Yan-hua;Huang Su-fen(Department of Internal MedicineⅡ,Gaoming District People's Hospital,Foshan 528500,Guangdong Province,China)

机构地区：[1]佛山市高明区人民医院内二科,广东佛山528500

出　　处：《中外医药研究》2022年第10期123-125,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2019年广东省佛山市科技局立项课题(编号:1920001001860);佛山市高明区“十四五”医学特色专科建设项目(编号:GMTS14508)。

摘　　要：目的:探讨关键点护理在结肠镜检查肠道准备中的应用效果。方法:选取2020年1月-2021年6月佛山市高明区人民医院收治的结肠镜检查患者200例为观察对象,根据随机数字表法分为观察组和对照组,各100例。对照组给予常规护理干预,观察组在对照组基础上给予关键点护理干预。比较两组患者肠道准备质量、肠镜检查时间、息肉检出率、不良反应发生率。结果:观察组回盲部至升结肠、横结肠至降结肠、乙状结肠至直肠评分及Boston肠道准备评分量表总分高于对照组,差异有统计学意义(P<0.05);观察组肠道准备合格率高于对照组,差异有统计学意义(P<0.05);观察组进镜时间短于对照组,息肉检出率高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:关键点护理在结肠镜检查肠道准备中的应用效果显著,可改善结肠镜检查患者肠道准备质量,缩短肠镜检查时间,提高息肉检出率,降低不良反应发生率。Objective:To investigate the effect of critical care in bowel preparation for colonoscopy.Methods:A total of 200 patients with colonoscopy admitted to Gaoming District People's Hospital of Foshan City from January 2020 to June 2021 were selected as the observation objects.According to random number table method,the patients were divided into observation group and control group,100 cases each.The control group received routine nursing intervention,and the observation group received critical nursing intervention on the basis of the control group.The quality of intestinal preparation,colonoscopy time,polyp detection rate and incidence of adverse reactions were compared between the two groups.Results:The ileocecal to ascending colon,transverse colon to descending colon,sigmoid to rectum scores and the total score of Boston intestinal readiness score scale in the observation group were higher than those in the control group,with statistical significance(P<0.05).The qualified rate of intestinal preparation in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The admission time of observation group was shorter than that of control group,and the detection rate of polyp was higher,the difference was statistically significant(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:The application of critical care in bowel preparation for colonoscopy has a significant effect,which can improve the quality of bowel preparation for colonoscopy patients,shorten the time of colonoscopy,increase the detection rate of polyps,and reduce the incidence of adverse reactions.

关 键 词：关键点护理 结肠镜检查 肠道准备 息肉 

分 类 号：R47[医药卫生—护理学]