慢性便秘患者无痛肠镜检查前肠道准备方法比较.docVIP

精品论文 参考文献 慢性便秘患者无痛肠镜检查前肠道准备方法比较 蒋碧鋆 　　（上海交通大学附属上海市第六人民医院消化科 200233） 　　【摘要】目的：探讨慢性便秘患者无痛肠镜检查前肠道准备方法。方法：150例患者随机分成5组，采用甘露醇加口服补盐液，番泻叶加硫酸镁，聚乙二醇电解质散，番泻叶、甘露醇、口服补盐液，番泻叶、聚乙二醇电解质散作无痛肠镜检查前肠道准备。结果：番泻叶、甘露醇、口服补盐液和番泻叶、聚乙二醇电解质散肠道准备结果明显优于其它三种方法，番泻叶、甘露醇、口服补盐液与番泻叶、聚乙二醇电解质散肠道准备结果二者无明显差异。结论：慢性便秘患者无痛结肠镜检查前用传统肠道准备方法，肠道清洁效果不佳，而采用加用番泻叶后能明显改善肠道准备效果。 　　【关键词】无痛肠镜；便秘；肠道准备 　　【中图分类号】R57 【文献标识码】A 【文章编号】2095-1752（2015）03-0018-02 　　Chronic constipation in patients with painless colonoscopy examination method for intestinal preparation before comparison Jiang Biyun. Sixth peoples hospital affiliated to Shanghai Jiaotong university, Shanghai 200233, China 　　【Abstract】Objective Painless treatment in patients with chronic constipation bowel preparation before colonoscopy examination method. Methods 150 patients were randomly divided into 5 groups, the use of mannitol and oral rehydration salts, senna and magnesium sulfate, polyethylene glycol electrolyte powder, senna and mannite, oral rehydration salts, senna, polyethylene glycol electrolyte powder for bowel preparation before painless colonoscopy examination. Results Senna and mannite, oral rehydration salts solution and senna, polyethylene glycol electrolyte powder result is superior to other three kinds of methods for intestinal preparation, senna and mannite, oral rehydration salts solution and senna, polyethylene glycol electrolyte powder bowel preparation results no obvious difference was found between the two. Conclusions Chronic constipation in patients with painless colonoscopy with traditional methods of bowel preparation before the intestinal cleaning effect, and use after add with senna can obviously improve the effect of bowel preparation. 　　【Key words】 Painless colonoscopy; Constipation; Bowel preparation 　　随着生活水平的不断提高，无痛肠镜检查的比例也随之增加，在检查中由于肠道准备差而影响检查结果、甚至中止检查时有发生。尤其是慢性便秘患者使用常规肠道准备更差，对患者和医护人员均带来诸多不便及经济损失[1]。本文通过对不同肠道准备方法结果的观察、比较，以寻找慢性便秘患者无痛肠镜检查时较好肠道准备方法。 　　1.资料和方法 　　1.1 临床资料 　　便秘患者150例，其中男48例，女102例，年龄22～78岁，平均