三种不同肠道清洁方法在老年患者肠镜检查中的应用效果研究  

Study on the Application Effect of Three Different Intestinal Cleaning Methods in Colonoscopy in Elderly Subjects

作　　者：顾海莺 陆敏 苏静 Gu Haiying;Lu Min;Su Jing(Shanghai Jiading District Nanxiang Hospital,Shanghai,201800,China)

机构地区：[1]上海市嘉定区南翔医院,上海201800

出　　处：《中国初级卫生保健》2025年第2期104-106,共3页Chinese Primary Health Care

基　　金：上海市嘉定区卫生健康委员会科研课题计划项目(2021-KY-07)。

摘　　要：目的:评价三种不同的肠道清洁方法在老年患者肠镜检查中的应用效果,探讨适合老年患者的肠道清洁方法。方法:选取2020年9月—2023年11月于上海市嘉定区南翔医院行结肠镜检查的300例老年患者,将其随机分为3组,每组100例,各组分别采用3 L复方聚乙二醇电解质(Polyethylene glycol,PEG)分次口服(A组)、比沙可啶+PEG(B组)、乳果糖+PEG(C组)三种不同的肠道清洁方法,评价老年患者肠镜检查中的肠道清洁度程度、不良反应发生率、进镜完成时间、总体耐受度、盲肠到达率,探讨适合老年患者的肠道清洁方法。结果:B组患者波士顿肠道准备量表(Boston bowel preparation scale,BBPS)评分[(96.81±0.74)分]高于A组患者[(6.12±0.36)分],差异有统计学意义(F=8.384,P<0.05),B组患者评分略高于C组患者。B组患者总体不良反应率为22%,结肠镜检查时间[(6.01±0.23)min]短于A组患者[(6.92±0.71)min],总体耐受度[(1.23±0.47)]明显低于A组患者[(1.41±0.60)],差异均有统计学意义(F值分别为6.189、2.361,P<0.05)。结论:乳果糖+PEG在老年患者肠镜检查中具有较好的应用效果,能减少患者不良反应。OBJECTIVE To evaluate the effect of 3 different intestinal cleaning methods in elderly patients with colonoscopy,and to explore the suitable intestinal cleaning methods for elderly patients.METHODS 300 elderly patients who underwent colonoscopy in Nanxiang Hospital,Jiding District from September 2020 to November 2023 were randomly divided into 3 groups with 100 cases in each group.Each group was treated with 3 different intestinal cleansing methods,including 3L PEG(group A),bisacolidine+PEG(group B)and ltose+PEG(group C),respectively.Through comparative analysis,the intestinal cleanliness degree[Boston Intestinal Readiness Scale(BBPS)],incidence of adverse reactions(AER),completion time,overall tolerance and cecal arrival rate of three different intestinal cleaning methods in elderly patients during colonoscopy were evaluated,and the intestinal cleaning methods suitable for elderly patients were discussed.RESULTS The total BBPS score in Group B(96.81±0.74)was higher than that in Group A(6.12±0.36),with statistical significance(F=8.384,P<0.05).The score of group B was slightly higher than that of group C.The overall adverse reactions in Group B were 22%.The colonoscopy time(6.01±0.23)min was shorter than that in Group A(6.92±0.71)min,and the overall tolerance(1.23±0.47)was significantly lower than that in Group A(1.41±0.60),with statistical significance(F=6.189,2.361,P<0.05).CONCLUSION Lactulose+PEG has a good application effect in the elderly patients with colonoscopy,and it can reduce the adverse reactions of patients and meet the intestinal methods of colonoscopy and treatment.

关 键 词：乳果糖 聚乙二醇电解质 比沙可啶 肠道准备 结肠镜检查 效果 

分 类 号：R473.5[医药卫生—护理学]