电子肠镜检查前3种肠道清洁方法效果比较.docVIP

电子肠镜检查前3种肠道清洁方法效果比较 齐鲁护理杂志2008年第143~:第 电子肠镜检查前3种肠道清洁方法效果比较 陈晓燕 (中山市小榄人民医院广东中山510120) 摘要目的:探讨电子肠镜检查前3种肠道清洁方法的效果比较.方法:将1236例接受电子肠镜检查与治 疗的患者随机分为口服甘露醇组408例,1:2服复方聚乙二醇电解质散组394例和口服硫酸镁组434例,根据电子肠 镜检查前肠道清洁度和肠道清洁范围评价肠道清洁效果.结果:复方聚乙二醇组肠道清洁有效率为98.7%,显着 高于口服甘露醇组95.7%和口服硫酸镁组86.7%(Plt;0.05);肠道清洁范围最大,全结肠清洁率92.5%,显着高于 口服甘露醇组86.9%和1:2服硫酸镁组71.5%.复方聚乙二醇不良反应发率为¨%,显着低于甘露醇组34%和口 服硫酸镁组4l%(Plt;0.05).结论:口服复方聚乙二醇电解质散是比较理想的全结肠清洁方法,不良反应相对少, 但临床中应根据患者经济能力选择最佳的肠道准备方法. 关键词电子肠镜;肠道准备;甘露醇;复方聚乙二醇电解质散;硫酸镁 中图分类号:R473.5文献标识码:B文章编号:1006—7256(2008)21—0012—02 Comparisonofcleaningeffectofthreekindsofbowelpreparationsbeforecolonoscopy ChenXiao—yan (XiaolanPeople’sHospitalofZhongshanMunicipality,ZhongshanGuangdong510120,China) AbstractObjective:Tostudythecleaningeffectof3kindsofbowelpreparationsbeforecolonoscopy.Methods:One thousandtwohundredandthirtysixpatientsreceivingcolonoscopyandtreatmentwererandomlydividedinto3groups:oral mannitolgroup(n=408),oralcompoundpolyethyleneglycolelectrolytespowdergroup(n=394)andoralmagnesiumsul— fategroup(n=434).Thecleaningeffectwasevaluatedaccordingtothedegreeandscopeofclearancebeforecolonoscopy. Results:Theeffectiverateofclearancewithcompoundpolyethyleneglycolelectrolytespowderwa$98.7%.whichwassig— nificantlyhigherthanthatinmannitol(95.7%)andmagnesiumsulfate(86.7%)groups(Plt;0.05).Theclearanceof wholecolonincompoundpolyethyleneglycolelectrolytespowdergroupwas92.5%anditWashigherthanthatinmannitol (86.9%)andmagnesiumsulfate(71.5%)groups.TheadversereactionWas11%incompoundpolyethyleneglycolelec- trolytespowdergroupthanthatinmannitol(34%)andmagnesiumsulfate(41%)groups(Plt;0.05).Conclusion:Oral compoundpolyethyleneglycolelectrolytespowderisaidealcleaningmethodwithlittleadversereaction. KeywordsColonoscopy;Bowelpreparation;Mannitol;Compoundpolyethyleneglycolelectrolytespowder;Magnesi— ams1lifate 2005年6月～2007年5月,我们采用口服复方聚乙二醇 电解质散清洁肠道,并与口服硫酸镁与甘露醇的肠道准备进 行比较,效果满意.现报告如下. l资料与方法 1.1临床资料本组1236例患者,随机分为3组:口服甘露 醇组408例,男207例,女201例,平均50.0±16.6岁;口服硫 酸镁组434例,男219例,女215例;口服复方聚乙二醇电解质 散组394例,男213例,女