匹维溴铵在80岁以上患者结肠镜检查中的应用-更多文档分类.PDFVIP

2010 10 24 5 Pract G riatr, Octob r 2010, Vol. 24, No. 5 413 匹维溴铵在 80岁以上患者结肠镜检查中的应用 探讨匹维溴铵 于!80岁患者减轻结肠镜检查不良反应的作 治疗组 30 例于 结肠镜检查前 3 d开始服 匹维溴铵 50 m g, 每日3次, 直至检查次日停药, 对照组 30例不服 此类药物, 观察 2组 患者在结肠镜检查过程中腹痛肠痉挛程度, 并进行分级及评分同时, 观察肠道清洁程度, 记录结肠镜到达回盲 部所需时间 治疗组腹痛肠痉挛评分均明显低于对照组(P 005) 治疗组肠道清洁程度明显优于对 照组(P 005) 治疗组结肠镜到达回盲部所需时间明显少于对照组(P 00 1) 匹维溴铵 于 !80 岁患者结肠镜检查对缓解腹痛肠痉挛均有 一定作 , 并能改善肠道清洁度, 缩短检查时间, 减轻患者痛苦, 疗效安 全可靠 匹维溴铵; 电子结肠镜; 老年人 [] R 4468 [] A do:i 10. 3969 /.j issn. 10039 198. 2010. 05. 020 A pp lication of pinaverium brom ide in co lonoscopy in pat ients aged 80 and over W U X iaowei, ZH U R enm in, ZHAN G X iaohua, JIH ongzan, YAN GM iaof ang, S UN Quan, X UX iaobing, GUO M ei ia, LIM inli. D epartmen t of Gas troen terology, N anj ing GeneralH osp ital of N anj ing Command, N anj ing 2 10002, China A bstrac t O bject ive To inv stigat th ff ct of pinav rium brom id in colonoscopy in pati nts ag d 80 and ov r. M ethod s A ll pati nts r c iving colonoscopy w r d ivid d into tw o groups. Th tr atm nt group w as giv n prinav rium brom id ( 50 mg, 3 tmi s p r day) for thr days b for colonoscopy, w hil th control group was giv n only th int stin cl ans ing liqu id. Th rank and scor w r m ad for abdom inal pain and nt rospasm in colonoscopy. Th cl ann ss of colon was analyz d. Th whol tmi for colonoscopy r ach ing il oc cal junction w as r cord d. Resu lts Th scor s of abdom inal pain and nt rospasm w r both low r in th tr atm nt group than thos in th control group (P 005). Th cl ann ss of colon w as b tt r in th tr atm nt group than that in th control group (P 005) . Th whol tmi for colonoscopy r ach ing il oc cal junction was l ss in th tr atm n t group than th