摘要
目的探讨不同肠道准备方法对肠镜诊疗前肠道准备效果的影响。方法选取本院2018年3—9月肠镜诊疗患者102例,随机等分为对照组和观察组,对照组肠镜诊疗前6 h禁饮和12 h禁食的常规护理方法,并口服甘露醇;观察组在对照组基础上在口服甘露醇,最后一口时服用达克罗宁胶浆。比较两组患者的肠道诊疗时间、肠道祛泡效果、肠道检查耐受度、肠道清洁度评分、不良反应发生情况。结果观察组患者首次排便至服药时间、最后排便至服药时间短于对照组(P <0. 05);观察组患者排便次数少于对照组(P <0. 05);观察组患者肠道检查时间短于对照组(P <0. 05);观察组患者的肠道祛泡效果、肠道检查耐受度好于对照组(P <0. 05);观察组患者肠道清洁度评分(左侧结肠、右侧结肠、横结肠、总分)高于对照组(P <0. 05);两组患者的不良反应(腹胀、腹痛、睡眠障碍、恶心)比较,差异无统计学意义(P> 0. 05)。结论口服盐酸达克罗宁胶浆对肠道准备的效果良好,值得临床推广使用。
Objective To explore the effect of different intestinal preparation methods on the intestinal preparation before colonoscopy.Methods A total of 102 patients underwent colonoscopy in our hospital from March 2018 to September 2018 were randomly divided into control group and observation group with the same number of patients.The control group was given routine nursing method for 6 hours of liquid fasting and 12 hours of fasting before colonoscopy,and these patients also took mannitol orally.Patients in the observation group also took mannitol orally on the basis of the control group,and they also took dyclonine hydrochloride orally at the last one hour before the surgery.The intestinal diagnosis and treatment time,intestinal defoaming effect,intestinal examination tolerance,intestinal cleanliness score,and adverse reaction were compared between the two groups.Results In the observation group,the time from the first defecation to taking the pills and the time from last defecation to the medication were shorter than that of the control group(P<0.05).The number of defecations in the observation group was less than that in the control group(P<0.05).The intestinal examination time of the observation group was shorter than that of the control group(P<0.05).The effect of intestinal de-foaming and intestinal examination tolerance were better than that of the control group(P<0.05).The intestinal cleanliness score(including left colon,right colon,transverse colon,and the total score)of the observation group was higher than that of the control group(P<0.05).There was no statistical significance in the difference of adverse reactions comparison(including abdominal distension,abdominal pain,sleeping disorder and nausea)between the two groups(P>0.05).Conclusion Oral dyclonine hydrochloride has a good effect on intestinal preparation,which was worthy of clinical promotion and application.
作者
郑瑶珍
衷爱华
李春梦
ZHENG Yao-zhen;ZHONG Ai-hua;LI Chun-meng
出处
《护理实践与研究》
2019年第9期149-151,共3页
Nursing Practice and Research
关键词
肠道诊疗时间
肠道祛泡效果
肠道检查耐受度
肠道清洁度评分
不良反应
Intestinal diagnosis and treatment time
Intestinal defoaming effect
Intestinal examination tolerance
Intestinal cleanliness score
Adverse reaction
