服药时间对结肠镜检查肠道准备效果的影响

Impact of timing of medicine-taking on bowel preparation for colonoscopy

摘要:

目的??探讨行结肠镜检查时服药时间对肠道准备效果的影响。方法?选取行结肠镜检查的200例患者，分为两组，A组：5：00～7：00，B组：10：00～12：00，于肠镜检查前4 h口服复方聚乙二醇电解质散（PGEP）（恒康正清）139.12 g（2 000 ml）作为清肠剂，内镜医师行Boston肠道准备量表（BBPS）和肠腔内气泡评分，记录患者肠道准备时间，问卷调查患者对肠道准备的耐受性，记录肠道准备过程中的不良反应。结果?所有患者均完成肠道准备及全结肠镜检查。A组BBPS总分明显高于B组（P <0.05），A组肠腔内气泡评分明显低于B组（P <0.05），A组肠道准备时间少于B组（P <0.05），A组耐受性高于B组（P <0.05），A组不良反应明显低于B组（P <0.05）。结论?5：00～7：00服用PGEP行结肠镜检查肠道准备时间短、效果好，方便患者就医，能减少患者空腹等待及不适（头晕、饥饿感）等潜在风险，增加其依从性和耐受性，使肠镜检查顺利进行。

Abstract:

Objective?To investigate the impact of timing of medicine-taking on the preparation of intestinal tract during colonoscopy examination.?Methods?200 cases undergoing colonoscopy were divided into two groups, A group: 5:00 ~ 7:00 and B group: 10:00 ~ 12:00 to receive colonoscopy examination before 4 H oral polyethylene glycol electrolyte powder (PGEP) 139.12 g (2 000 ml) as a cleansing agent, endoscopy bowel preparation scale (Boston BBPS) and intraluminal bubble scores were recorded in bowel preparation time, tolerance to intestinal preparation by questionnaire in patients with bowel preparation records of adverse reactions in the process.?Results?All patients in A group completed the bowel preparation for colonoscopy and a scores of BBPS was significantly higher than that of B group (P < 0.05), A group intestinal cavity bubble score was significantly lower than that in B group (P < 0.05). A group, intestinal preparation time is less than B group (P < 0.05), tolerance of A group is higher than that of B group (P < 0.05), adverse reactions of A group was lower than that in B group (P < 0.05).?Conclusion?5:00 ~ 7:00 taking polyethylene glycol electrolyte powder for bowel preparation for colonoscopy examination, in short time, good effect and convenient treatment. Patients can reduce fasting and wait for the discomfort (dizziness, hunger) and other potential risks, increase their compliance and tolerability, make the colonoscopy smoothly.