大承气汤和磷酸钠盐口服液在肠镜检查肠道准备中的应用分析  被引量:2

Analysis of the Application of Dachengqi Decoction and Sodium Phosphate Oral Solution in Intestinal Preparation for Colonoscopy

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作  者:郁丽洁 周飞燕 沈中卫 陈秀峰 YU Lijie;ZHOU Feiyan;SHEN Zhongwei;CHEN Xiufeng(Department of Spleen and Gastroenterology,Wuxi Second Hospital of Traditional Chinese Medicine,Wuxi,Jiangsu Province,214121 China)

机构地区:[1]无锡市第二中医医院脾胃病科,江苏无锡214121

出  处:《世界复合医学》2022年第11期121-123,135,共4页World Journal of Complex Medicine

摘  要:目的比较肠镜检查肠道准备中采用磷酸钠盐口服液联合大承气汤的应用价值。方法选取2020年1月—2021年9月在无锡市第二中医医院实施肠镜检查者78例,采用随机数字法分为两组,40例予以大承气汤+磷酸钠盐口服液实施胃肠准备的归入研究组,38例予以磷酸钠盐口服液实施胃肠准备的归入对照组,比较两组的不良反应、肠道清洁范围和肠道清洁程度。结果研究组不良反应总发生率为12.50%,与对照组的15.79%比较,差异无统计学意义(χ^(2)=0.174,P>0.05);肠道清洁范围方面,研究组患者中0度占2.50%、Ⅰ度占10.00%、Ⅲ度占32.50%、Ⅳ度占30.00%,优于对照组的28.95%、42.11%、10.53%、5.26%,差异有统计学意义(Z=4.442,P<0.05);肠道清洁程度方面,研究组患者中Ⅰ级占62.50%、Ⅲ级占12.50%、Ⅳ级占2.50%,优于对照组的31.58%、34.21%、21.05%,差异有统计学意义(Z=3.502,P<0.05)。结论肠镜检查肠道准备中应用大承气汤联合磷酸钠盐口服液,安全性、肠道清洁范围、清洁度方面优势突出。Objective To compare the application value of using sodium phosphate oral solution combined with Dachengqi Decoction in intestinal preparation for colonoscopy.Methods 78 cases of colonoscopy performed in Wuxi Second Hospital of Traditional Chinese Medicine from January 2020 to September 2021 were selected and divided into two groups by the random number method.40 cases who were given Dachengqi Decoction+sodium phosphate oral solution for gastrointestinal preparation were included in the study group,and 38 cases who were given sodium phosphate oral solution for gastrointestinal preparation were included in the control group.The adverse reactions,the extent of intestinal cleanliness and the degree of intestinal cleansing were compared between the two groups.Results The total incidence of adverse reactions in the study group was 12.50%,compared with 15.79% in the control group,the difference was not statistically significant (χ^(2)=0.174,P>0.05).Regarding the range of intestinal cleanliness,2.50% of the patients in the study group had 0 degree,10.00% had I degree,32.50% had Ⅲ degree,and 30.00% had Ⅳ degree,which was better than 28.95%,42.11%,10.53%,and 5.26% in the control group,the difference was statistically significant (Z=4.442,P<0.05).Regarding the degree of bowel cleanliness,62.50% of the patients in the study group were grade I,12.50% were grade Ⅲ,and 2.50% were grade Ⅳ,which was better than 31.58%,34.21% and 21.05% in the control group,the difference was statistically significant (Z=3.502,P<0.05).Conclusion The application of Dachengqi Decoction combined with sodium phosphate oral solution in intestinal preparation for colonoscopy has outstanding advantages in terms of safety,intestinal cleanliness range,cleanliness.

关 键 词:肠镜检查 肠道准备 磷酸钠盐口服液 大承气汤 

分 类 号:R259[医药卫生—中西医结合]

 

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