CAJ | 학술논문

采用随机单盲法将146例需要行电子结肠镜检查的老年慢性便秘患者随机分为治疗组和对照组.治疗组肠道准备方法采用检查前1d口服四磨汤20 ml、3次/d后,服用聚乙二醇电解质散3L;对照组直接服用聚乙二醇电解质散3L.并由内镜操作医师应用Boston肠道准备量表对肠道准备效果进行评估.结果显示,治疗组患者首次大便时间短于对照组(P＜0.05),两组排便次数及不良反应发生率差异无统计学意义(P＞0.05).治疗组Boston肠道准备量表评分优于对照组(P＜0.05).提示联用四磨汤和聚乙二醇电解质散对老年慢性便秘患者进行肠道准备可提高其效果.
채용수궤단맹법장146례수요행전자결장경검사적노년만성편비환자수궤분위치료조화대조조.치료조장도준비방법채용검사전1d구복사마탕20 ml、3차/d후,복용취을이순전해질산3L;대조조직접복용취을이순전해질산3L.병유내경조작의사응용Boston장도준비량표대장도준비효과진행평고.결과현시,치료조환자수차대편시간단우대조조(P＜0.05),량조배편차수급불량반응발생솔차이무통계학의의(P＞0.05).치료조Boston장도준비량표평분우우대조조(P＜0.05).제시련용사마탕화취을이순전해질산대노년만성편비환자진행장도준비가제고기효과.
One hundred and forty six elderly patients with constipation undergoing colonoscopy during March 2012 and August 2013 were randomly assigned to trial and control groups.Seventy patients in trial group received Macrogol electrolytes powder combined with Chinese herb medicine Simo decoction for bowel preparation and 76 patients in control group received macrogol electrolytes powder only.The first defecation,times of defecation and tolerance of patients were compared between two groups.The quality of bowel preparation was evaluated by endoscopists with Boston Bowel Preparation Scale (BBPS).The first defecation time was shorter in trial group than that in control group (55.7 ± 27.9 vs.72.9 ± 34.8,P ＜ 0.05).However,no statistical significance was found in the times of defecation and tolerance of patients between two groups.The mean BBPS score in trial groups was higher than that in control group (7.87 ± 1.08 vs.6.97 ± 0.96,P ＜ 0.05).Chinese herb medicine Simo decoction combined with conventional method shows satisfactory result for bowel preparation in elderly patients with constipation undergoing colonoscopy.