结肠镜术前应用西甲硅油的效果分析*

Application of simethicone before colonoscope examination*

摘要:

目的??探讨结肠镜检查术前应用西甲硅油联合复方聚乙二醇电解质散的临床价值。方法?选取2013年10月-2015年12月于该院行结肠镜检查术的患者106例，随机分为观察组与对照组，每组各53例。对照组患者术前单纯口服复方聚乙二醇电解质散，观察组患者则联合使用西甲硅油和复方聚乙二醇电解质散。分别记录两组患者的术前肠道准备评分、病变检出情况以及患者各项肝肾功能和电解质变化。结果?观察组患者术前肠道准备满意率高于对照组患者（P <0.05），且病变检出率也高于对照组（P <0.05）。两组患者检查过程中均无明显不良反应。结论?西甲硅油可以祛除肠道气泡，与复方聚乙二醇电解质散联合应用于结肠镜检查术前，可显著提升肠道清洁效果，改善结肠镜图像，提高病变检出率。

Abstract:

Objective?To explore the application effect of simethicone combined with compound polyethylene glycol electrolyte powder before colonoscope examination.?Methods?106 cases underwent colonoscope examination from October 2013 to December 2015 were enrolled in the study. Then all the cases were divided into 2 groups randomly, each with 53 cases. Patients in the control group were treated with simple oral administration of compound polyethylene glycol electrolyte powder, patients in observation group were combined using simethicone and polyethylene glycol electrolyte powder. The preoperative bowel preparation score, lesion detection and the changes of liver and renal function and electrolyte in the two groups were recorded respectively.?Results?Patients in the observation group were better than the control group in both the bowel preparation score and the detection rate (P < 0.05). There were no obvious adverse reactions in the course of the two groups.?Conclusions?Simethicone can eliminate intestinal bubbles, and combined use with polyethylene glycol electrolyte powder before colonoscope examination can significantly improve intestinal cleaning effect, improve the colonoscope examination image, enhance the detection rate of lesions.