两种肠道准备方法在肠梗阻患者肠镜检查中的临床效果分析  

Clinical Effect Analysis of Two Bowel Preparation Methods for Enteroscopy in Patients with Intestinal Obstruction

作　　者：翁少文[1] 赵居云 王豪 吴嫚 王小娜 陈垂丽 WENG Shaowen;ZHAO Juyun;WANG Hao;WU Man;WANG Xiaona;CHEN Chuili(Hainan Provincial People's Hospital,Haikou 570311,China;不详)

机构地区：[1]海南省人民医院,海南海口570311

出　　处：《中外医学研究》2023年第4期116-119,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：海南省卫生健康行业科研项目(20A200207)。

摘　　要：目的:探讨两种肠道准备方法在肠梗阻患者肠镜检查中的临床效果。方法:选取2020年10月—2021年10月在海南省人民医院胃肠外科住院治疗的60例肠梗阻患者为研究对象,编号后将患者按照随机抽签的方式分为试验组(n=30)和对照组(n=30)。对照组采用常规灌肠法进行肠道准备,试验组采用结肠灌洗联合口服乳果糖和腹部按摩进行肠道准备。比较两组肠道准备合格率、肠道息肉检出率、肠道清洁程度评分、肠道准备时间、进镜时间、退镜时间及肠道准备相关并发症。结果:试验组肠道准备合格率(93.33%vs 70.00%)和肠道息肉检出率(86.67%vs 56.67%)均高于对照组,差异均有统计学意义(P<0.05)。试验组左半结肠、横结肠、右半结肠肠道清洁程度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。试验组肠道准备时间、进镜时间、退镜时间均优于对照组,差异均有统计学意义(P<0.05)。试验组并发症发生率为10.00%(3/30),对照组为36.67%(11/30),两组比较差异有统计学意义(P<0.05)。结论:结肠灌洗联合口服乳果糖和腹部按摩进行肠道准备的效果较好,不仅可有效提高肠道清洁程度和肠道息肉检出率,且可缩短肠镜检查时间,降低肠道准备相关并发症的风险。Objective: To explore clinical effect of two bowel preparation methods for enteroscopy in patients with intestinal obstruction. Method: A total of 60 patients with intestinal obstruction who hospitalized in the Department of Gastrointestinal Surgery of Hainan Provincial People’s Hospital from October 2020 to October 2021 were selected as the research objects. After numbering, they were randomly divided into the experimental group(n=30) and the control group(n=30). The control group was prepared with routine colon lavage, and the experimental group was prepared with colon lavage combined with oral Lactulose and abdominal massage. The qualified rate of intestinal preparation, detection rate of intestinal polyps, score of intestinal cleanliness, time of intestinal preparation,endoscopy entry time, time of endoscopy withdrawal and complications were compared between two groups. Result: The qualified rate of intestinal preparation(93.33% vs 70.00%) and the detection rate of intestinal polyps(86.67% vs 56.67%) in the experimental group were significantly higher than those in the control group(P<0.05). The intestinal cleanliness score of left colon, transverse colon, associated colon and total scores in the experimental group were higher than those in the control group(P<0.05). The intestinal preparation time,endoscopy entry time and endoscopy withdrawal time of the experimental group were better than those of the control group(P<0.05). The incidence of complications was 10.00%(3/30) in the experimental group and 36.67%(11/30) in the control group, there was statistically significant difference between two groups(P<0.05). Conclusion: Colon lavage combined with oral Lactulose and abdominal massage for bowel preparation has a good effect, which can not only effectively improve the intestinal cleanliness and the detection rate of intestinal polyps, but also shorten the time of enteroscopy and reduce the risk of complications.

关 键 词：肠梗阻 肠道准备 肠镜检查 乳果糖 并发症 

分 类 号：R574.2[医药卫生—消化系统]