YM-W型胃肠动力治疗仪对老年便秘患者肠道准备质量的研究  

Application of YM-W type gastrointestinal motility treatment device on the quality of bowel preparation of elderly patients with constipation

作　　者：陈纪秋 王芳芳 王岚 张靖 邹静 Chen Jiqiu;Wang Fangfang;Wang Lan;Zhang Jing;Zou Jing(Department of Nursing Care,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院护理部,上海200233

出　　处：《中国医学装备》2024年第12期109-113,共5页China Medical Equipment

基　　金：上海市自然科学基金(21ZR1448700);上海市第六人民医院2022年院级课题(X-4269)。

摘　　要：目的:评价YM-W型胃肠动力治疗仪对老年便秘患者肠道准备质量的临床效果。方法:采用方便抽样法选取2022年7月至2023年5月在上海交通大学医学院附属第六人民医院行结肠镜检查的70例老年便秘患者,采用随机数表法将其分为对照组和干预组,每组35例。对照组实施常规肠道准备,干预组在对照组的基础上实施1次30 min的胃肠动力治疗。比较干预后两组患者的波士顿肠道准备评分、首次排便时间、排便至无渣所用时间、排便至无渣所服泻药的量及不良反应。结果:波士顿肠道准备评分干预组患者的左半结肠(2.9±0.55)分、横结肠(2.2±0.69)分、右半结肠(2.2±0.58)分及总分(7.69±1.69)分,均高于对照组(2.6±0.60)、(2.6±0.65)、(1.8±0.76)、(6.66±1.83)分,两组比较差异有统计学意义(Z=-0.304、-2.84、-2.488、-3.141,P<0.05);干预组首次排便时间、排便至无渣所用时间均短于对照组,两组比较差异有统计学意义(Z=-3.64、-2.52,P<0.05);干预组排便至无渣所服泻药的量少于对照组,两组比较差异有统计学意义(Z=-1.18,P<0.05);干预组患者的不良反应率低于对照组,两组比较差异有统计学意义(F=31.8,P<0.05)。结论:胃肠动力治疗仪可提升老年便秘患者行结肠镜检查术前肠道的准备质量,值得临床应用。Objective:To evaluate the clinical effect of YM-W type gastrointestinal motility treatment device on the quality of bowel preparation of elderly patients with constipation.Methods:A convenient sampling method was used to select 70 elderly patients with constipation who underwent colonoscopy examination at the Sixth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine from July 2022 to May 2023.The patients were randomly divided into a control group and an intervention group by using random number method,with 35 cases in each group.The control group received routine intestinal preparation,while the intervention group underwent a gastrointestinal motility treatment with 30 minutes on the basis of control group.The scores of Boston bowel preparation scale,first defecating time,usage time from defecating to no-slag,and the amount of laxatives used from defecating to no-slag of two groups were compared after intervention.Results:For the scores of Boston bowel preparation scale,the left colon(2.9±0.55),transverse colon(2.2±0.69),right colon(2.2±0.58)and total score(7.69±1.69)in the intervention group were all higher than those(2.6±0.60,2.6±0.65,1.8±0.76,6.66±1.83)in the control group,with statistically significant differences between the two groups(Z=-0.304,-2.84,-2.488,-3.141,P<0.05),respectively.Both of the first defecating time and usage time from defecating to no-slag in the intervention group were significantly shorter than those in the intervention group(Z=-3.64,-2.52,P<0.05).The amount of laxatives used from defecating to no-slag in the intervention group was less than that in the control group(Z=-1.18,P<0.05).The adverse reaction rate of patients in the intervention group was significantly lower than that in the control group(F=31.8,P<0.05),and the difference between the two groups was statistically significant.Conclusion:The gastrointestinal motility treatment device can enhance the cleanliness quality of bowel before elderly patients with constipation undergo colonoscopy ex

关 键 词：老年 便秘 胃肠动力治疗仪 肠道准备质量 波士顿肠道准备评分 

分 类 号：R256.35[医药卫生—中医内科学]