复方聚乙二醇4000电解质散在老年患者结肠镜术前准备中的应用.pdfVIP

2010年1月第48卷第2期 ·临床探讨 · 复方聚乙二醇4000电解质散在老年患者结肠镜术前准备中的应用 胡 伟 时昭红 余 琼 刘 怡 (武汉市第一医院消化科，湖北武汉430022) 摘【要】目的 探讨复方聚乙二醇4000电解质散 (和爽)在老年人结肠镜术前检查中的清肠效果及安全性。方法 将80例老 年患者随机分为两组：一组为和爽组(A组)，采用复方聚乙二醇4000电解质散作为结肠镜术前准备 ；一组为电解质组(B 组)，采用电解质液作为结肠镜术前准备，观察老年人对两种方法的清肠效果及不良反应。结果 A组结肠整体准备的有效 率为91．2％，B组为71．7％，两组差异有显著性(P0．05)。A组不良反应的发生率为 1．2％，B组为8．5％，两组不良反应的发 生率无显著差异。结论 复方聚乙二醇4000电解质散用于老年患者结肠镜前的肠道准备较好。 [关键词】福静清；老年；肠道准备 中【图分类号】R47 文【献标识码】A 文【章编号】1673—9701(2010)02—137—02 Application of BowelPreparation W ith Polyethylene Glycol-Electrolyte PowderFor Colonoscopy In the Aged Persons HU Wei SillZhaohong YU Q／ong L／U Y／ The FirstMunicipalHospitalofWuhan，Wuhan430022，China A【bstract】ObjectiveToevaluatetheefficacy andsafetyofpolyethyleneglycol-electrolytepowderinthebowelpreparation for colonoscopy in hte aged persons． Methods Eighty patients undergoing colonoscopy were randomized to either polyethylene glycol-electrolytepowder(Agroup)orelectrolytebowelpreparation(Brgoup)．Thequali~ofhtebowelcleannessandbad reactiveness were assessed．Results Th e effectiverate ofbowelcleannessWas 91．2％ in A rgoup，and B rgoup was71．7％ ，P0．05．Patients in A groupsbegna togotostool(49．9-I-10．2)minaftertakingmedicine，BrgoupWas(54．6-I-12．4)min．Therewasnoremarkabledifferences between two rgoup．Therewere 13 case complmned ofnausea，vomitting，badominalpain in B rgoup，and A group Was only 2 case． Conclusion Ingestion ofpolyehtyleneglycol-electrolytepowderisa safe nad effective meansofcleaningthe bowelforcolonoscopy in aged persons．Ithas htebenefitsofsubstantially lessprepraation timeand dietary~eedom． K【eywords】PolyethyleneGlycol-electrolytePowderColonoscopy；Agedperson；BowelPrepraation 肠道准备的质量直接影响手术或检查的结果，与患者的住 表 1 两组一般资料(n) 院时间、预后、费用密切相关。老年人对常用的一些肠道准备的 方法如口服电解质液法、口服硫酸镁、甘露醇法等，口味差，副作 用大、耐受