摘要
目的：采用新的方法对肠道准备用药进行重新评价，探讨一种有效的肠道准备用药及措施，以提高肠镜检查及治疗的成功率。方法2011年1月-2012年12月某院门诊或住院完成结肠镜检查的患者3965例，其中单纯结肠息肉患者762例，完成研究的患者为85例。按自身对照设计原则，85例患者均半年复查一次肠镜，共复查3次，每次复查前随机给予口服3种泻剂（20％甘露醇、50％硫酸镁、番泻叶）中的1种准备肠道，每例患者3次复查口服泻剂不重复。按肠道准备方法的不同，分为3组：A组（口服20％甘露醇组）、B组（口服50％硫酸镁组）、C组（口服番泻叶组）。对3组患者服药后的肠道清洁度采用波士顿大学医学中心提出的Boston肠道准备量表（ BBPS ）进行评分比较、分析。结果3组患者的左半结肠、横结肠、右半结肠及全结肠肠道清洁效果PPBS评分比较，差异均无统计学意义（ H分别为1．103，1．377，0．179，0．160；P＞0．05）。结论口服20％甘露醇、50％硫酸镁、番泻叶在肠道清洁效果上无差异，肠道清洁效果与用何种药物准备肠道无关。护理健康教育可能是肠道准备中影响肠道清洁效果的重要因素。
Objective The new method of re-evaluation of drugs in bowel preparation , to explore an effective bowel preparation medication and measures to improve the success rate of colonoscopy and treatment . Methods Between January 2011 and December 2012 , 85 simple colon polyps patients were recruited . According to the principles of self-control design , cases were received 3 times of colonoscopy , and they were divided into 3 groups according to the bowel preparation medication： group A （ 20% Oral Mannitol group ） , group B （ oral 50%magnesium sulfate group ） , group C （ orally taken Senna group ） .3 groups of patients after intestinal cleanliness were investigated with Boston bowel preparation scale .Results PPBS scores after left colon, transverse colon, right colonand the entire colon intestinal cleansing effects of the three groups , while the differences were no statistically different （ H =1.103, 1.377, 0.179, 0.160, respectively;P ＆gt;0.05 ）. Conclusions Oral administration of 20%mannitol,50%magnesium sulfate, and senna bowel cleansing has no significantly difference in bowel cleansing . Care and health education are important factors for intestinal cleansing of bowel preparation .
出处
《中华现代护理杂志》
2014年第4期467-470,共4页
Chinese Journal of Modern Nursing
关键词
结肠镜
甘露醇
硫酸镁
番泻叶(中药)
Colonoscopy bowel preparation
Mannitol
Magnesium sulphate
Senna
