葡萄糖水在肠镜检查患者肠道准备中的应用效果  

The Application Effect of Glucose Solution in Intestinal Preparation of Patients Undergoing Colonoscopy

作　　者：王丽青 文晓冬 廖达林 Wang Liqing;Wen Xiaodong;Liao Dalin(1900th Hospital of Joint Logistic Support Force,Fuzhou Fujian 350000,China;General Clinical College of Fujian Medical University,Fuzhou Fujian 350000,China)

机构地区：[1]联勤保障部队第九〇〇医院,福建福州350000 [2]福建医科大学附属福总临床医学院,福建福州350000

出　　处：《医疗装备》2024年第9期19-23,共5页Medical Equipment

摘　　要：目的评估葡萄糖水在肠镜检查患者肠道准备中的应用效果。方法选取2021年2—11月于医院就诊的160例拟行肠镜检查的患者作为研究对象,随机分为对照组和试验组,每组80例。两组均于肠镜检查前1 d进食流质低渣饮食,检查当日禁食。对照组的肠道准备制剂为聚乙二醇电解质散剂3袋溶解于1.2 L温水+1.8 L清水,试验组在对照组基础上将1.8 L清水替换为1.8 L葡萄糖水(患者自行调整葡萄糖用量)。其中,1/3肠道准备制剂于检查前1 d夜间8点开始服用,2/3肠道准备制剂于检查当日上午7点开始服用,服用后4 h进行肠镜检查。比较两组肠道准备过程的主观感受(包括肠道准备制剂的口感、饥饿感、腹胀感、恶心感、腹痛及对肠道准备制剂的满意度)、对肠镜检查的满意度、复查肠镜意愿、复查时是否希望加用葡萄糖水进行肠道准备,以及肠道准备质量、进镜时间和检查过程中的生命体征(心率、收缩压、舒张压、血氧饱和度、呼吸频率)。结果试验组对肠道准备制剂的口感评分、满意度评分均高于对照组,饥饿感评分低于对照组,差异均有统计学意义(P<0.05);两组的腹胀感评分、恶心感评分、腹痛评分比较,差异均无统计学意义(P>0.05)。试验组对肠镜检查的满意度评分高于对照组,复查时希望加用葡萄糖水进行肠道准备的占比高于对照组,差异均有统计学意义(P<0.05);两组的复查肠镜意愿比较,差异无统计学意义(P>0.05)。试验组肠道准备质量优于对照组,进镜时间短于对照组,差异均有统计学意义(P<0.05);两组检查过程中的心率、收缩压、舒张压、血氧饱和度、呼吸频率比较,差异均无统计学意义(P>0.05)。结论采用葡萄糖水进行肠镜检查前的肠道准备,可改善肠道准备制剂的口感,减少患者的饥饿感,提高患者对肠道准备制剂和肠镜检查的满意度及复查时加用葡萄糖水进行肠道准备的期Objective To evaluate the application effect of glucose solution in intestinal preparation of patients undergoing colonoscopy.Methods With the selection of 160 patients who planned to undergo colonoscopy at the hospital from February to November 2021 as the study subjects,they were randomly divided into the control group and the experimental group,with 80 cases in each group.Both groups were fed a liquid low-slag diet 1 day before colonoscopy and fasted on the examination day.In the control group,3 bags of polyethylene glycol electrolyte powder were dissolved in 1.2 L warm water and 1.8 L clean water as intestinal preparation.In the control group,1.8 L water was replaced with 1.8 L glucose solution on the basis of the control group(patients adjusted the amount of glucose by themselves).Among them,one third of the preparation was taken at 8 pm one day before the examination,two thirds of the preparation was taken at 7am on the day of the examination,and colonoscopy was performed after taking them.The subjective feelings of the intestinal preparation process(including the taste,hunger,bloating,nausea,abdominal pain,and satisfaction with the intestinal preparation preparations),satisfaction with colonoscopy examination,willingness to review colonoscopy,whether to add glucose solution for intestinal preparation during the review,as well as the quality of intestinal preparation,entry time,and vital signs during the examination process(heart rate,systolic blood pressure,diastolic blood pressure,blood oxygen saturation,respiratory rate)were compared,between the two groups.Results The taste and satisfaction scores of the experimental group on the intestinal preparation preparations were higher than those of the control group,while the hunger score was lower than that of the control group,and the differences were statistically significant(P<0.05);There were no statistically significant differences in the scores of bloating,nausea,and abdominal pain between the two groups(P>0.05).The satisfaction score of the experimental

关 键 词：葡萄糖水 肠道准备 肠镜检查 效果 安全性 满意度 

分 类 号：R574.62[医药卫生—消化系统]