麻醉结肠镜检查前单次和分次服用复方聚乙二醇电解质肠道准备的效果及胃液残留量比较  

Comparison of Effect of Single and Divided Administration of Compound Polyethylene Glycol Electrolyte for Intestinal Preparation and Residual Amount of Gastric Fluid Before Anesthetized Colonoscopy

作　　者：杨莹 张雪[1] 冯磊 YANG Ying;ZHANG Xue;FENG Lei(Department of Public Health,First Affiliated Hospital of Nanyang Medical College,Nanyang,Henan 473000)

机构地区：[1]南阳医学高等专科学校第一附属医院公共卫生科,河南南阳473000

出　　处：《中国肛肠病杂志》2024年第5期49-51,共3页Chinese Journal of Coloproctology

摘　　要：目的:比较麻醉结肠镜检查前单次和分次服用复方聚乙二醇电解质肠道准备的效果及胃液残留量。方法:选择2019年1月至2023年12月于本院接受麻醉结肠镜检查的70例患者为研究对象,随机数字表法分为两组,各35例。所有患者均选用复方聚乙二醇电解质进行肠道准备,一组于检查当日早上一次性服用2盒复方聚乙二醇电解质(A组),另一组于检查前一日晚和检查当日早上分别服用1盒复方聚乙二醇电解质(B组)。比较2组肠道准备效果、检查依从性、肠道气泡、胃液残余量及不良反应发生情况。结果:B组肠道准备总优良率、结肠镜检查总依从率高于A组(P<0.05);2组肠道气泡事件发生率比较差异无统计学意义(P>0.05);B组胃液残余量明显少于A组(P<0.05);B组肠道检查不良反应总发生率低于A组(P<0.05)。结论:与单次服用复方聚乙二醇电解质肠道准备相比,麻醉结肠镜检查前分次服用复方聚乙二醇电解质肠道准备效果更好,患者检查依从性更高,胃液残留量及不良反应更少。Objective To compare the effect of single and divided administration of compound polyethy-lene glycol electrolyte for intestinal preparation and the residual amount of gastric fluid before anesthetized colonoscopy.Methods A total of 70 patients who received anesthetized colonoscopy at our hospital from January 2019 to December 2023 were selected as research objects and divided into two groups with 35 cases in each group by random number table method.All patients were given compound polyethylene glycol elec-trolyte for intestinal preparation.One group received 2 boxes of compound polyethylene glycol electrolyte(group A)at one time in the morning of the examination day,and the other group received 1 box of com-pound polyethylene glycol electrolyte(group B)on the night before the examination day and in the morn-ing of the examination day.The effect of intestinal preparation,compliance,intestinal bubble,residual a-mount of gastric fluid and occurrence of adverse reactions were compared between the two groups.Re-sults The total good rate of intestinal preparation and colonoscopy compliance in group B were higher than those in group A(P<0.05).There was no significant difference in the incidence of intestinal bub-bles between the two groups(P>0.05).The residual amount of gastric fluid in group B was significantly lower than that in group A(P<0.05).The total incidence of adverse reactions in group B was lower than that in group A(P<0.05).Conclusion Compared with single administration of compound polyethy-lene glycol electrolyte for intestinal preparation,divided administration of polyethylene glycol electrolyte for intestinal preparation before anesthetized colonoscopy has better effect,higher examination compliance,less residual amount of gastric fluid and adverse reactions.

关 键 词：结肠镜检查 麻醉 复方聚乙二醇电解质 肠道准备 胃液残留量 

分 类 号：R614[医药卫生—麻醉学]