CAJ | 학술논문

目的观察不同方法对胶囊内镜检查前肠道准备的清洁效果。方法将40例患者按肠道清洁方法随机平分为硫酸镁组(检查前1d 下午4点将50%硫酸镁25g 溶于清水少许中饮完，其后半小时内饮水500mL，当日早晨5点50%硫酸镁50g 溶于清水少许中饮完，其后半小时内饮水1000mL 以上)及番泻叶-硫酸镁组(检查前2d 进食少渣饮食，每日番泻叶2~3g 用开水300mL 浸泡15min 后当茶饮用，检查前12h 停服番泻叶，按照前组办法服用硫酸镁)。结果硫酸镁组及番泻叶-硫酸镁组患者均能耐受肠道准备。肠道清洁评分显示硫酸镁组患者优良率为65%，番泻叶-硫酸镁组优良率为90%，两组差异有显著性（P ＜0.05）。结论采用小剂量番泻叶浸液加硫酸镁口服进行肠道准备可有效提高胶囊内镜的图像清晰度及病变检出率，值得临床推广。
목적관찰불동방법대효낭내경검사전장도준비적청길효과。방법장40례환자안장도청길방법수궤평분위류산미조(검사전1d 하오4점장50%류산미25g 용우청수소허중음완，기후반소시내음수500mL，당일조신5점50%류산미50g 용우청수소허중음완，기후반소시내음수1000mL 이상)급번사협-류산미조(검사전2d 진식소사음식，매일번사협2~3g 용개수300mL 침포15min 후당다음용，검사전12h 정복번사협，안조전조판법복용류산미)。결과류산미조급번사협-류산미조환자균능내수장도준비。장도청길평분현시류산미조환자우량솔위65%，번사협-류산미조우량솔위90%，량조차이유현저성（P ＜0.05）。결론채용소제량번사협침액가류산미구복진행장도준비가유효제고효낭내경적도상청석도급병변검출솔，치득림상추엄。
Objective To observe the different methods of cleaning effect of bowel preparation before capsule endoscopy. Methods Divided into 40 patients with bowel cleansing method random level magnesium sulfate group (at 4 p.m. of the day before capsule endoscopy drinking 50% magnesium sulfate 25g soluble in water a little firstly, then drinking 500 mL of water within half an hour later, the next day at 5 a.m drinking 50% magnesium sulfate 50g soluble in water a little firstly, then drinking more than 1000 mL of water within half an hour later) and senna-magnesium sulfate group (eating less residue diet two days ago before capsule endoscopy, senna daily 2-3g soaked with water 300 mL after 15 minutes, then drinking the senna immersion replace tea until 12h before check, then like the former group taking the magnesium sulfate). Results Magnesium sulfate group and senna-magnesium group patients all could tolerate the bowel preparation, bowel cleansing excellent rate the magnesium sulfate group of patients was 70%, senna-magnesiu sulfate group was 90%. Conclusion The small dose of senna immersion plus magnesium sulfate oral as bowel preparation method in capsule endoscopy can effectively improve the images clarity and lesion detection rate, worth in clinical popularize.