目的 探讨基于微信小程序指导下的低危人群肠道准备的效果。方法 纳入肠道准备常见影响因素，构建问答表，研发微信小程序，通过简易手机端操作，快速准确识别肠道准备低危人群，选取2021年6-12月在联勤保障部队第九八八医院消化内镜中心接受无痛电子结肠镜检查的患者1360例，微信小程序识别出低危人群(417例)，纳入试验组予以2 L复方聚乙二醇电解质散(PEG-ELS)低剂量方案，其他人群(943例)，纳入对照组予以3 L PEG-ELS常规方案。所有患者肠道准备效果均使用Boston肠道准备评分量表(BBPS)予以评价，并记录息肉检出率、插镜成功率、达盲时间等其他结果，同时记录服用PEG-ELS后的不良反应和再次检查意愿，观察比较两组患者的肠道准备结果及受试者情况。结果 两组患者的BBPS总分、各节段得分、息肉检出率、插镜成功率、达盲时间比较，差异无统计学意义(P＞0。05)，但试验组患者的不良反应总发生率低于对照组，再次检查意愿高于对照组，差异有统计学意义(P＜0。05)。结论 应用微信小程序可快速准确识别肠道准备低危人群，采用2 L PEG-ELS方案具有较少的不良反应与较好的患者耐受性，与常规方案肠道准备质量相当。
Effect of intestinal preparation in low-risk population under the guidance of WeChat applet
Objective To explore the effect of intestinal preparation in low-risk population under the guidance of WeChat applet.Methods Common influencing factors included in intestinal preparation.A question-and-answer form was formulated and a WeChat applet was developed,so as to quickly and accurately identify the low-risk population of intestinal preparation through simple mobile phone operation.A total of 1360 patients who underwent painless electronic colonoscopy in the Digestive Endoscopy Center of the No.988 Hospital of Joint Logistics Support Force from June to December,2021 were selected.The low-risk population(417 patients)was identified by the WeChat applet and included in the experimental group to receive the low-dose regimen of 2 L compound polyethylene glycol electrolyte lavage solution(PEG-ELS),while others(943 patients)were included in the control group and received the conventional regimen of 3 L PEG-ELS.The intestinal preparation effect of all patients was evaluated by the Boston bowel preparation scale(BBPS),and other results such as polyp detection rate,success rate of colonoscopy insertion,and time to reach the cecum were recorded.At the same time,the adverse reactions after taking PEG-ELS and the willingness to re-examine were recorded,and the intestinal preparation results and subjects'situation of the two groups were observed and compared.Results There was no significant difference in the total score of BBPS,the BBPS score of each colon segment,the polyp detection rate,the success rate of colonoscopy insertion and the time to reach the cecum between the experimental group and the control group.The total incidence of adverse reactions in the experimental group was lower than that in the control group,and the willingness to re-examine was higher than that in the control group,with statistically significant differences(P＜0.05).Conclusion The low-risk population of intestinal preparation can be quickly and accurately identified by using the WeChat applet,and the 2 L PEG-ELS regimen has fewer adverse reactions and better patient tolerance,with the quality of intestinal preparation equivalent to that of the conventional regimen.
万方数据
维普
