中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
32期
49-51
,共3页
杨光%宋林繁%王勇%沈海峰%范亚召
楊光%宋林繁%王勇%瀋海峰%範亞召
양광%송림번%왕용%침해봉%범아소
结肠镜%柠檬酸镁%复方聚乙二醇电解质散%肠道准备
結腸鏡%檸檬痠鎂%複方聚乙二醇電解質散%腸道準備
결장경%저몽산미%복방취을이순전해질산%장도준비
Colonoscopes%Magnesium citrate%Compound polyethylene glycol electrolyte powder%Bowel preparation
目的 探讨柠檬酸镁溶液联合复方聚乙二醇电解质散在结肠镜检查前肠道准备中的临床效果.方法 将106例因下消化道症状等行结肠镜检查患者按随机数字表法分为研究组(54例)和对照组(52例),研究组应用柠檬酸镁溶液联合复方聚乙二醇电解质散进行肠道准备,对照组应用复方聚乙二醇电解质散进行肠道准备.比较两组病变检出情况、肠道准备质量、首次排便时间、排便次数、进镜时间、服用肠道准备药物后电解质及肝肾功能以及不良反应等.结果 两组病变检查率、进镜时间、服用肠道准备药物后电解质及肝肾功能比较差异无统计学意义(P＞0.05).研究组肠道准备质量总有效率明显高于对照组[96.3％(52/54)比82.7％(43/52)],首次排便时间明显短于对照组[(32.5 ±26.1) min比(47.2±22.4) min],排便次数明显多于对照组[(8.2±2.9)次比(6.2±2.6)次],差异有统计学意义(P＜0.05).研究组恶心发生率明显低于对照组[22.2％(12/54)比48.1％(25/52)],差异有统计学意义(P＜0.05);两组呕吐、腹胀、腹痛发生率比较差异无统计学意义(P＞0.05).结论 柠檬酸镁联合复方聚乙二醇电解质散应用于结肠镜检查的术前肠道准备可提高肠道准备质量,减少并发症的发生.
目的 探討檸檬痠鎂溶液聯閤複方聚乙二醇電解質散在結腸鏡檢查前腸道準備中的臨床效果.方法 將106例因下消化道癥狀等行結腸鏡檢查患者按隨機數字錶法分為研究組(54例)和對照組(52例),研究組應用檸檬痠鎂溶液聯閤複方聚乙二醇電解質散進行腸道準備,對照組應用複方聚乙二醇電解質散進行腸道準備.比較兩組病變檢齣情況、腸道準備質量、首次排便時間、排便次數、進鏡時間、服用腸道準備藥物後電解質及肝腎功能以及不良反應等.結果 兩組病變檢查率、進鏡時間、服用腸道準備藥物後電解質及肝腎功能比較差異無統計學意義(P＞0.05).研究組腸道準備質量總有效率明顯高于對照組[96.3％(52/54)比82.7％(43/52)],首次排便時間明顯短于對照組[(32.5 ±26.1) min比(47.2±22.4) min],排便次數明顯多于對照組[(8.2±2.9)次比(6.2±2.6)次],差異有統計學意義(P＜0.05).研究組噁心髮生率明顯低于對照組[22.2％(12/54)比48.1％(25/52)],差異有統計學意義(P＜0.05);兩組嘔吐、腹脹、腹痛髮生率比較差異無統計學意義(P＞0.05).結論 檸檬痠鎂聯閤複方聚乙二醇電解質散應用于結腸鏡檢查的術前腸道準備可提高腸道準備質量,減少併髮癥的髮生.
목적 탐토저몽산미용액연합복방취을이순전해질산재결장경검사전장도준비중적림상효과.방법 장106례인하소화도증상등행결장경검사환자안수궤수자표법분위연구조(54례)화대조조(52례),연구조응용저몽산미용액연합복방취을이순전해질산진행장도준비,대조조응용복방취을이순전해질산진행장도준비.비교량조병변검출정황、장도준비질량、수차배편시간、배편차수、진경시간、복용장도준비약물후전해질급간신공능이급불량반응등.결과 량조병변검사솔、진경시간、복용장도준비약물후전해질급간신공능비교차이무통계학의의(P＞0.05).연구조장도준비질량총유효솔명현고우대조조[96.3％(52/54)비82.7％(43/52)],수차배편시간명현단우대조조[(32.5 ±26.1) min비(47.2±22.4) min],배편차수명현다우대조조[(8.2±2.9)차비(6.2±2.6)차],차이유통계학의의(P＜0.05).연구조악심발생솔명현저우대조조[22.2％(12/54)비48.1％(25/52)],차이유통계학의의(P＜0.05);량조구토、복창、복통발생솔비교차이무통계학의의(P＞0.05).결론 저몽산미연합복방취을이순전해질산응용우결장경검사적술전장도준비가제고장도준비질량,감소병발증적발생.
Objective To study the effect of magnesium citrate combined with compound polyethylene glycol electrolyte powder in bowel preparation before colonoscopy.Methods One hundred and six colonoscopy patients with lower digestive tract symptom were divided into study group (54 cases) and control group (52 cases) by random digits table method,the bowel preparation in study group was magnesium citrate combined with compound polyethylene glycol electrolyte powder,in control group was compound polyethylene glycol electrolyte powder.The lesions detection rate,bowel preparation quality,time of first defecation,number of defecation,time of colonoscopy,results of the electrolyte level and liver and kidney function after medication and adverse reaction were compared between two groups.Results There were no statistical differences in lesions detection rate,time of colonoscopy,results of the electrolyte level and liver and kidney function after medication between two groups (P ＞ 0.05).The total effective rate of bowel preparation quality in study group was significantly higher than that in control group [96.3％(52/54) vs.82.7％ (43/52)],the time of first defecation was significantly shorter than that in control group [(32.5 ± 26.1) rmin vs.(47.2 ± 22.4) min],the number of defecation was significantly much than that in control group [(8.2 ± 2.9) times vs.(6.2 ± 2.6) times],there were statistical differences (P ＜ 0.05).The incidence of nausea in study group was significantly lower than that in control group [22.2％ (12/54) vs.48.1％ (25/52)],there was statistical difference (P ＜ 0.05).There were no statistical differences in the incidences of vomiting,abdominal distention and abdominal pain between two groups (P ＞ 0.05).Conclusion Magnesium citrate combined with compound polyethylene glycol electrolyte powder used in preoperative bowel preparation for colonoscopy has better clinical application value.
