再次口服缓泻剂与清洁灌肠对普通结肠镜检查肠道准备不充分患者补救效果的对比研究*

Comparative study of the remedial effect of additional oral laxatives and clean enema on patients with inadequate bowel preparation for general colonoscopy*

摘要:

摘要：目的??探讨再次口服缓泻剂与清洁灌肠对普通结肠镜检查肠道准备不充分患者的补救效果。方法 回顾性分析2018年7月－2019年6月因肠道准备不充分[波士顿肠道准备评分（BBPS）总分?0.05）。结论 再次口服2 L PEG溶液对普通结肠镜检查肠道准备不充分的补救效果优于清洁灌肠，且具有较好的可接受度。

Abstract:

Abstract: Objective?To investigate the remedial effect of additional oral laxatives and clean enema on patients with inadequate bowel preparation for general colonoscopy.?Methods?The clinical data of 96 patients from July 2018 to June 2019 with inadequate bowel preparation [total Boston Bowel Preparation Scale (BBPS) score less than 6 or any of 3 colon segments score less than 2] during an general colonoscopy and received remedial measures on the same day were retrospectively analyzed. Among them, 59 patients received additional oral intake of 2 L polyethylene glycol (PEG) electrolyte powder (PEG group) and 37 patients received artificial clean enema (enema group). The BBPS score of colon, adequacy rate of bowel preparation, time of cecum intubation, detection rate of polyps, adverse reactions and patients’ acceptance were compared between the two groups.?Results?The BBPS score of whole colon [(7.9?±?1.8) vs (7.1?±?1.7) score, t?=?2.17, P?=?0.033], right colon [(2.7?±?0.8) vs (2.2?±?0.7) score, t?=?3.12, P?=?0.002] and transverse colon [(2.7?±?0.8) vs (2.3?±?0.7) score, t?=?2.50, P?=?0.014] in PEG group was significantly higher, adequacy rate of bowel preparation (93.2% vs 73.0%, χ2?=?7.48, P?=?0.006) was significantly higher, and patients’ acceptance (91.5% vs 75.7%, χ2?=?4.59, P?=?0.032) was significantly higher than those in enema group, with statistical significance (P?