CAJ | 학술논문

目的：观察评价硫酸镁不同服用方式对静脉肾盂造影（ IVP ）检查前肠道准备的临床效果。方法：选择2010年7月至2013年2月我院收治的168例拟行IVP 检查的患者，均给予50％硫酸镁60mL进行肠道准备，按照服用方式的不同随机平均分为四组。 A组：1200mL温开水于1h内分3次大量口服；B组：2000mL温开水于1h内分4次大量口服；C组：1200mL温开水于1h内小量任意口服；D组：1200mL温开水于2h内分3次大量口服。观察评价四组患者的肠道准备效果，并进行统计分析。结果：通过对比分析，A组在排便满意度、阅片有效度、无胀气有效度等指标上比其它组要好，但不良反应发生率较高。结论：硫酸镁服用后于1h内分3次大量口服1200mL温开水能够提高排便满意度、阅片有效度、无胀气有效度，肠道准备效果良好，但需要进一步研究以降低较高的不良反应率。
목적：관찰평개류산미불동복용방식대정맥신우조영（ IVP ）검사전장도준비적림상효과。방법：선택2010년7월지2013년2월아원수치적168례의행IVP 검사적환자，균급여50％류산미60mL진행장도준비，안조복용방식적불동수궤평균분위사조。 A조：1200mL온개수우1h내분3차대량구복；B조：2000mL온개수우1h내분4차대량구복；C조：1200mL온개수우1h내소량임의구복；D조：1200mL온개수우2h내분3차대량구복。관찰평개사조환자적장도준비효과，병진행통계분석。결과：통과대비분석，A조재배편만의도、열편유효도、무창기유효도등지표상비기타조요호，단불량반응발생솔교고。결론：류산미복용후우1h내분3차대량구복1200mL온개수능구제고배편만의도、열편유효도、무창기유효도，장도준비효과량호，단수요진일보연구이강저교고적불량반응솔。
Objective: To evaluate the effect of different ways of taking magnesium sulfate on bowel preparation prior to performing intravenous pyelography ( IVP ) examination .Method:160 patients who gave their consent from July 2010 to February 2013, drank 50%magnesium sulfate 60mL for IVP check,were di-vided into four groups .Group A:a large amount of graded oral administration of warm water 1200mL for 3 times within 1 hour;Group B:a large amount of graded oral administration of warm water 2000 mL for 4 times within 1 hour;Group C:small any oral administration of warm water 1200mL within 1 hour;Group D:a large amount of graded oral administration of warm water 1200mL for 3 times within 2 hours.And then the bowel preparation effect of the four groups were analyzed .Result:Through the comparison , group A was much bet-ter than the other groups on the aspects of cathartic satisfaction , the effective degree of reading films and flat-ulence .Conclusion:To take a large amount of graded oral administration of warm water 1200 mL for 3 times within 1 hour can improve cathartic satisfaction , But it also need to further research in order to reduce the high rate of adverse reactions .