首页|肠道清洁图在聚乙二醇电解质散肠道准备的个体化方案研究

肠道清洁图在聚乙二醇电解质散肠道准备的个体化方案研究

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目的 评价肠道清洁图在聚乙二醇电解质散肠道准备方案中的应用效果.方法 便利抽样法选取2023年2月至2023年5月在我院消化内镜中心行无痛结肠镜检查的患者作为研究对象.将2023年2月至2023年3月的446例作为对照组,采用3 L聚乙二醇电解质散(Ⅳ)方案清肠.2023年4月至2023年5月409例作为观察组,应用肠道清洁图方法判断聚乙二醇服用剂量,通过比较两组患者口服液体量,肠道清洁情况,结肠镜检查时长及粪水吸引量,不良反应发生情况、再次服药意愿等,探讨最佳用药剂量.结果 观察组和对照组患者口服液体量分别为(2 737.80±352.72)mL、(2 844.10±336.54)mL,差异有统计学意义(P<0.05).观察组35.07%的患者口服液体量少于2 750 mL,19.90%患者口服液体量少于2 250 mL,且肠道准备合格.两组的肠道准备BBPS评分差异无统计学意义(P>0.05).观察组的进镜时长、检查总时长、粪水吸引量均少于对照组,两组比较差异有统计学意义(P<0.05).不良反应发生情况中,观察组、对照组出现呕吐的人数分别为34例(8.31%)、60例(13.45%),差异有统计学意义(P<0.05).两组患者再次服药意愿总体无差异,但观察组出现不适的例数显著低于对照组(P<0.05).结论 应用肠道清洁图指导患者服用不同剂量的聚乙二醇可保证肠道准备效果,减少患者口服液体量,缩短结肠镜检查时间,减少不良反应发生率.
Effect of bowel cleaning assessment pictures in guiding the polyethylene glycol bowel preparation regimens
Objective To evaluate the effect of bowel cleaning pictures in guiding the polyethylene glycol bowel preparation regimens.Methods Patients who underwent painless colonoscopy in the Gastrointestinal Endoscopy Center of our hospital from Feb.2023 to May 2023 were selected as the study objects.Among them,446 cases from Feb.to Mar.were served as control group,and 409 cases from Apr.to May were served as observation group.The control group was treated with 3 L polyethylene glycol oral regimen for bowel cleaning.The observation group was guided by the bowel cleaning assessment pictures according to different doses of polyethylene glycol.The effectiveness was evaluated by com-paration of the oral liquid volume,bowel cleanliness,colonoscopy duration,fecal water attraction,occurrence of adverse reactions,and retaking willingness between the two groups.Results The oral liquid volume of observation group and control group was(2 737.80±352.72)mL and(2 844.10±336.54)mL,respectively(P<0.05).In the observation group,35.07%of patients had oral liquid volume less than 2 750 mL,19.90%of patients had oral liquid volume less than 2 250 mL,and the bowel preparation was qualified.There was no significant difference in BBPS scores.The exam-ination duration,total examination duration and the volume of fecal water in the observation group were less than those of the control group,and there were significant differences between the two groups(P<0.05).In adverse reactions,8.31%(34/409)vomiting in observation group and 13.45%(60/446)in control group,respectively(P<0.05).There was no difference in retaking willingness between the two groups,but the number of patients with discomfort in ob-servation group was significantly infrequently than in control group(P<0.05).Conclusion Using bowel cleaning pic-tures to guide patients using polyethylene glycol may reduce the volume of oral liquid and colonoscopy operation time,as well as the incidence of adverse reactions,keeping the quality of bowel preparation.

Bowel preparationBowel cleaning picturesDifferent dosesPolyethylene glycol

王盈盈、刘晓冰、桑素娟、王俊雅、杜健、吴慧银、张波

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中国人民解放军总医院第一医学中心消化内科医学部消化内镜中心,北京 100853

解放军医学院研究生院

肠道准备 肠道清洁图 不同剂量 聚乙二醇电解质散

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(7)