结肠灌洗法在结肠镜检查前肠道准备中的应用.pdfVIP

窑临床研究 窑 中国医药导报 2014年 12月第 11卷第35期 结肠灌洗法在结肠镜检查前肠道准备中的应用 郭明浩 中国中医科学院广安门医院南区肛肠科袁北京 102618 [摘要] 目的观察结肠灌洗法应用于结肠镜检查前肠道准备的效果尧肠道准备时间尧不良反应并进行应用可行性 分析遥 方法将200例拟进行结肠镜检查患者随机均分成研究组和对照组遥研究组用结肠灌洗法进行肠道准备曰 对照组用口服复方聚乙二醇电解质散进行肠道准备遥 根据结肠镜检查结果判断肠道准备效果袁比较两组肠道准 备效果尧不良反应发生率尧肠道准备所需时间等重要指标袁并在研究中贯彻盲法实施思想遥 结果 两组肠道准备 效果差异无统计学意义渊P0.05冤曰不良反应发生率研究组渊0%冤低于对照组渊16%冤袁差异有高度统计学意义渊P 0.01冤曰肠道准备所需时间研究组为渊17依2冤min袁对照组为渊150依30冤min袁两组比较差异有高度统计学意义渊P 0.01冤遥 结论 虽然两组肠道准备效果无明显差异袁均能满足结肠镜检查要求袁但是结肠灌洗法与口服药相比袁具 有不良反应少尧安全性高尧肠道准备所需时间短尧效率高尧对人体生理干扰较少的优势遥提示结肠灌洗法用于结肠 镜检查前肠道准备是一个更好的方法袁不但可行而且值得推广遥 [关键词] 结肠灌洗法曰结肠镜检查曰肠道准备曰泻药 [中图分类号] R656.9 [文献标识码]A [文章编号] 1673-7210渊2014冤12渊b冤-0028-04 Application of colonirrigationinthebowel preparationbefore colonscopy GUOMinghao Department of Anorectal, South District of Guang忆anmen Hospital, China Academy of Chinese Medical Sciences, Bei鄄 jing 102618,China [Abstract]ObjectiveTo observe the quality of bowel preparation,bowel preparation time, adverse etfect and feasibili鄄 ties of cleaning colon with colonic irrigation before colonoscopy. Methods 200 patients preparing for colonoscopy were randomly and equally divided into the research group and the control group. The research groupwas given colon irriga鄄 tionfor bowel preparation; andthe control groupwas givenpolyethylene glycol-electrolyte powder orally.The quality of bowel preparation was assessed according to the result of colonoscopy. The quality of bowel preparation, incidence of adverse effects and the time required for intestinal preparation were compared. The blind method was implemented in the research. ResultsTherewas noobvious differencebetweenthetwo groupsfor intestinalpreparation (P0.05); in鄄 cidence of adverse effects (0%vs 16%)and the time requ