结肠镜检查及治疗前肠道准备用药探讨.pdfVIP

16 3 中国内镜杂志 第 卷第 期 Vol. 16 No. 3 2010 3 年 月 China Journal of Endoscopy Mar. 2010 文章编号：1007-1989（2010）03-0303-03 结肠镜检查及治疗前肠道准备用药探讨 贾 燕，徐灿霞，王 芬，陈 雄，沈守荣 （中南大学湘雅三医院消化内科，湖南长沙41 001 3） 摘要：目的 探讨一种安全、有效的肠道准备方法以提高肠镜检查及治疗的成功率，减少并发症。方法 将 216例行结肠镜检查的患者随机分为3组。A组70例口服聚乙二醇电解质散剂，B组74例口服甘露醇，C组 72例口服番泻叶，分别观察3组患者服药后的肠道清洁程度、药物不良反应及肠道准备中患者紧张、恐惧心理 状态。结果 A组患者的肠道清洁度与B组比较，差异无显著性，P0.05，但不良反应及患者出现紧张、恐惧心 理A组明显少于B组C组，差异有显著性，P0.05。结论 口服聚乙二醇电解质溶液清洁肠道效果好、清肠过 程中不良反应及患者出现紧张、恐惧心理少，且发现息肉的同时可行电凝电切治疗。 关键词：聚乙二醇电解质溶液；甘露醇；番泻叶；肠道准备；结肠镜检查及治疗 中图分类号：R574 文献标识码：B Application of different drugs in bowel preparation before colonoscopy JIA Yan, XU Can-xia, WANG Fen, CHEN Xiong, SHEN Shou-rong (Department of Digestion, the Third Hospital, Central South University, Changsha, Hunan 410013, P.R.China) Abstract: 【Objective 】To study a safe and effective method of bowel preparation before colonoscopy, to improve the success rate of colonoscopy to reduce complications, and to save costs and time for patients. 【Methods 】216 pa－ tients preparing for colonoscopy were randomly divided into three groups: group A (n=70): polyethylene glycol-elec－ trolyte lavage solution, group B (n=74): mannitol, group C (n=72): senna. Cleanliness of bowel, drug adverse reac－ tions after taking medicine, and the patients psychology state were observed. 【Results 】Bowel cleaning rate in group B was as good as group A, P0.05. The rate of mental stress in group A was lower than t