老年住院结肠镜检查者肠道准备不良风险因素分析  

Risk Factors of Poor Bowel Preparation in Elderly Inpatients Undergoing Colonoscopy

作　　者：李晓燕 贾春岭 LI Xiao-yan;JIA Chun-ling(Nanyang Central Hospital,Nanyang,Henan 473000)

机构地区：[1]河南省南阳市中心医院,河南南阳473000

出　　处：《中国肛肠病杂志》2024年第5期52-54,共3页Chinese Journal of Coloproctology

摘　　要：目的:探讨老年住院结肠镜检查者肠道准备不良的风险因素。方法:选取2023年1月1日至10月31日于我院住院行结肠镜检查的95例老年患者,以Boston肠道准备量表(BBPS)评分评估肠道准备质量,得分总分≥6分且任意一节段肠道(左半结肠、横结肠、右半结肠)评分均≥2分者为肠道准备合格,得分总分<6分或具有任意一节段肠道评分<2分者为肠道准备不良。分析不同特征患者肠道准备情况,并应用多元Logistic回归分析法分析导致肠道准备不良的危险因素。结果:在年龄、身体质量指数(BMI)、文化程度、合并糖尿病、合并便秘、结肠手术史、腹部/盆腔手术史、是否为首次结肠镜检查、行走能力方面,不同分组患者肠道准备情况比较差异有统计学意义,P<0.05。多元Logistic分析发现,年龄≥70岁、BMI≥24 kg/m^(2)、合并糖尿病、文化程度初中及以下、有结直肠手术史、有便秘史、首次结肠镜检查是导致肠道准备不良的危险因素,P<0.05。结论:住院老年患者接受结肠镜检查前肠道准备质量受多方面因素影响,临床上应对具有上述危险因素的患者进行针对性干预,以提高肠道准备质量。Objective To investigate the risk factors of poor bowel preparation in elderly inpatients un-dergoing colonoscopy.Methods Total 95 elderly patients admitted to our hospital for colonoscopy from January 1,2023 to October 31,2023 were selected to evaluate quality of the bowel preparation by Boston bowel preparation scale(BBPS)score.Those with total score≥6 and scores≥2 in any segment of intesti-nal tract(left colon,transverse colon,right colon)were included as qualified bowel preparation.Those with total score<6 or scores<2 in any segment were included as poor bowel preparation.The bowel prepa-ration of patients with different characteristics was analyzed,and the risk factors leading to poor bowel preparation were analyzed by multivariate Logistic regression analysis.Results There were statistically significant differences in bowel preparation among different groups in age,body mass index(BMI),educa-tion level,with diabetes mellitus and constipation,history of colon surgery,history of abdominal/pelvic surgery,whether to be the first colonoscopy,and walking ability(P<0.05).Multivariate Logistic analysis showed that age≥70 years old,BMI≥24 kg/m^(2),with diabetes,junior high school education level or less,history of colorectal surgery,history of constipation,and the first colonoscopy were the risk factors for poor bowel preparation(P<0.05).Conclusion The quality of bowel preparation before colonoscopy in elderly inpatients is affected by many factors.Targeted intervention should be carried out for patients with the above risk factors to improve the quality of bowel preparation.

关 键 词：老年 结肠镜检查 肠道准备 质量 风险因素 

分 类 号：R574[医药卫生—消化系统]