复方聚乙二醇4000电解质散在老年患者结肠镜术前准备中应用.docVIP

复方聚乙二醇4000电解质散在老年患者结肠镜术前准备中应用 　　[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 Bowel Preparation With Polyethylene Glycol-Electrolyte Powder For Colonoscopy In the Aged Persons 　　HU WeiSHI ZhaohongYU QiongLIU Yi 　　TheFirst Municipal Hospital of Wuhan,Wuhan 430022,China 　　 　　[Abstract] Objective To evaluate the efficacy and safety of polyethylene glycol-electrolyte powder in the bowel preparation for colonoscopy in the aged persons. Methods Eighty patients undergoing colonoscopy were randomized to either polyethylene glycol-electrolyte powder(A group) or electrolyte bowel preparation(B group). The quality of the bowel cleanness and badreactivenesswere assessed. Results The effective rate of bowel cleanness was 91.2% in A group,and B group was 71.7%,P0.05. Patients in A groups began to go to stool(49.9±10.2)min after taking medicine,B group was(54.6±12.4)min. There was no remarkable differences between two group. There were 13 case complained of nausea,vomitting,abdominal pain in B group,and A group was only 2 case. Conclusion Ingestion of polyethylene glycol-electrolyte powder is a safe and effective means of cleaning the bowel for colonoscopy in aged persons. It has the benefits of substantially less preparation time and dietary freedom. 　　[Key words] Polyethylene Glycol-electrolyte Powder Colonoscopy;Aged person;Bowel Preparation 　　 　　肠道准备的质量直接影响手术或检查的结果,与患者的住院时间、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、耐受性也较差,影响内镜诊治的效果。因此需要一种新的方法减轻痛苦,增加清肠效果。本文自2007年12月～2009年4月期间采用和爽(由深圳万和制药有限公司提供)及电解质清肠液作为老年人术前的肠道准备用药进行对比研究,旨在寻求一种适合老年人的清肠方法。 　　 　　1资料与方法 　　 　　1.1一般资料 　　80例老年患者年龄60岁,主诉便秘、腹痛、腹泻、便血、腹部包块就诊,依照患者意愿分为两组。观察组(A组)34例,男10例,女2