摘要
目的探讨不同时间口服复方聚乙二醇电解质散(恒康正清)进行肠道准备对结肠清洁作用的影响。方法结肠镜检查患者120例随机分为3组:A组36例,术前12小时服药,上午检查;B组44例,术前4小时服药,上午检查;C组40例,术前4小时服药,下午检查。比较3组肠道清洁度、清洁范围及患者的评价。结果结肠清洁度I级A组(5.5%)显著低于B组(90.9%)及C组(75.0%)(P<0.05)。肠道清洁范围4度A组(16.7%)显著低于B组(86.4%)及C组(70.0%)(P<0.05)。患者耐受性A组(72.2%)显著低于B组(95.2%)和C组(90.0%)(P<0.05)。结论采用检查前4小时快速口服复方聚乙二醇电解质散3盒,具有肠道清洁满意、患者耐受性高的效果。
Objective To evaluate the effect of different time of taking polyethylene glycol-electrolyte on bowel preparation before eolonoseopy. Methods Altogether 120 patients undergoing colonoscopy were randomized to three groups: receiving polyethylene glycol-electrolyte 12 hours before colonoscopy and performing eolonoseopy in the morning(group A) ,4 hours before colonoscopy and performing colonoscopy in the morning (group B) or 4 hours before colonoscopy and performing eolonoscopy in the afternoon (group C). During the colonoscopy, the endoseopist blindly scored the cleanness of each bowel segment, degree of cleaning bowl and patients' endurance. Results Degree of cleaning bowl as grade Ⅰ in group A (5.5%) was significantly lower than that of group B (90.9%) and group C (75.0%)( P 〈0.05). The cleanness of each bowel segment as class 4 in group A (16.7%) was significantly lower than that of group B (86.4%) and group C (70.0%)( P 〈0.05). Patients' endurance in group A (72.2%) was significantly lower than that of group B (95.2%) and group C (90.0%) ( P 〈0.05). Conclusion Taking polyethylene glycol- electrolyte 4 hours before colonoscopy may be a more satisfactory method for patients experiencing pan colon cleaning before eolonoscopy.
出处
《临床荟萃》
CAS
2009年第1期37-39,共3页
Clinical Focus