增液润肠方在结肠镜肠道准备中的临床应用效果  

Clinical application effect of Zengye Runchang prescription in bowel preparation for colonoscopy

作　　者：邱萍[1] 李兴[1] 龚敏[1] 文萍[1] 静艳 QIU Ping;LI Xing;GONG Min;WEN Ping;JING Yan(Department of Gastroenterology,Pingxiang People's Hospital,Pingxiang,Jiangxi,337000,China;Department of Pharmacy,Pingxiang People's Hospital,Pingxiang,Jiangxi,337000,China)

机构地区：[1]萍乡市人民医院消化内科,江西萍乡337000 [2]萍乡市人民医院药剂科,江西萍乡337000

出　　处：《当代医学》2024年第16期22-25,共4页Contemporary Medicine

基　　金：江西省卫健委科技计划项目(202212135)。

摘　　要：目的观察增液润肠方在结肠镜肠道准备中的临床应用效果。方法选取2021年1月至2023年3月于萍乡市人民医院行结肠镜检查的86例患者作为研究对象,采用随机数字表法分为研究组与对照组,每组43例。对照组给予复方聚乙二醇电解质散(polyethyleneglycol electrolytedispersion,SF-PEG)进行肠道准备,研究组在对照组基础上予以增液润肠方。比较两组肠道清洁程度、肠道气泡分级、进退镜时间、插管盲肠到达率、大肠病变发现率、患者依从性及不良反应发生情况。结果研究组左侧结肠评分、右侧结肠评分及总分均高于对照组,差异有统计学意义(P<0.05),两组横结肠评分比较差异无统计学意义。研究组肠道气泡分级优于对照组,差异有统计学意义(P<0.05)。研究组进镜时间与退镜时间均短于对照组,插管盲肠到达率、大肠病变发现率均高于对照组,差异有统计学意义(P<0.05)。研究组总依从率为90.70%,高于对照组的74.42%,差异有统计学意义(P<0.05)。研究组肠道准备过程中不良反应发生率为9.30%,低于对照组的27.91%,差异有统计学意义(P<0.05)。结论增液润肠方在结肠镜肠道准备中的临床应用效果确切,可显著改善患者的肠道准备质量,有利于提高患者的依从性,降低不良反应发生率,值得临床推广应用。Objective To observe the clinical application effect of Zengye Runchang prescription in bowel preparation for colonoscopy.Methods A total of 86 patients who underwent colonoscopy in Pingxiang People's Hospital from January 2021 to March 2023 were selected as the study subjects,and they were divided into the study group and the control group according to random number table method,with 43 cases in each group.The control group was given compound polyethylene glycol electrolyte powder(SF-PEG)for intestinal preparation,and the study group was given Zengye Runchang prescription on the basis of the control group.The degree of intestinal cleaning,the classification of intestinal bubbles,entry and exit mirror time,the arrival rate of intubation cecum,the detection rate of large intestine lesions,the compliance of patients and the occurrence of adverse reactions were compared between the two groups.Results The left colon score,the right colon score and the total score in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05);there was no statistically significant differ-ence in transverse colon score between the two groups.The classification of intestinal bubbles in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).The entry and exit mirror time in the study group was shorter than those in the con-trol group,and the arrival rate of intubation cecum and the detection rate of large intestine lesions were higher than those in the control group,and the differences were statistically significant(P<0.05).The total compliance rate in the study group was 90.70%,which was higher than 74.42%in the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 9.30%,which was lower than 27.91%in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical application of Zengye Runchang prescription

关 键 词：增液润肠方 结肠镜 肠道准备 应用效果 肠道清洁 依从性 

分 类 号：R574.62[医药卫生—消化系统]