中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
5期
558-561
,共4页
老年人%肠道清洁%复方聚乙二醇电解质散
老年人%腸道清潔%複方聚乙二醇電解質散
노년인%장도청길%복방취을이순전해질산
Elderly%Bowel preparation%Polyethylene glycol-electrolyte solution
目的：比较老年患者分次剂量与单次全剂量服用复方聚乙二醇电解质溶液进行肠道准备的效果及不良反应,总结肠道准备的护理经验。方法将220例行结肠镜检查的老年患者根据计算机生成的随机数字表分为试验组和对照组,每组110例。试验组患者于结肠镜检查前1 d 17：00及检查当日6：00分次剂量服用复方聚乙二醇电解质散(PEG),每次1.5 L；对照组患者检查当日6：00单次全剂量服用PEG 3L清洁肠道。采用Boston肠道准备量表( BBPS)评估肠道清洁度,比较两组患者的不良反应及检查阳性率。结果试验组患者 BBPS 评分为(6.65±1.67)分,对照组患者 BBPS 评分为(6.14±1.91)分,两组比较差异有统计学意义(t=2.097,P<0.05)。试验组患者呕吐14例、腹痛34例、腹胀22例,均低于对照组(χ2值分别为4.400,4.111,4.002；P<0.05)；试验组结肠息肉及结肠癌检出率为37.3%,高于对照组的24.5%(χ2=4.172,P<0.05)。结论采用结肠镜检查前当晚与检查当日分次剂量服用PEG可以改善肠道清洁效果,减少老年患者单次大量服用 PEG引起的不良反应,提高检查阳性率。
目的：比較老年患者分次劑量與單次全劑量服用複方聚乙二醇電解質溶液進行腸道準備的效果及不良反應,總結腸道準備的護理經驗。方法將220例行結腸鏡檢查的老年患者根據計算機生成的隨機數字錶分為試驗組和對照組,每組110例。試驗組患者于結腸鏡檢查前1 d 17：00及檢查噹日6：00分次劑量服用複方聚乙二醇電解質散(PEG),每次1.5 L；對照組患者檢查噹日6：00單次全劑量服用PEG 3L清潔腸道。採用Boston腸道準備量錶( BBPS)評估腸道清潔度,比較兩組患者的不良反應及檢查暘性率。結果試驗組患者 BBPS 評分為(6.65±1.67)分,對照組患者 BBPS 評分為(6.14±1.91)分,兩組比較差異有統計學意義(t=2.097,P<0.05)。試驗組患者嘔吐14例、腹痛34例、腹脹22例,均低于對照組(χ2值分彆為4.400,4.111,4.002；P<0.05)；試驗組結腸息肉及結腸癌檢齣率為37.3%,高于對照組的24.5%(χ2=4.172,P<0.05)。結論採用結腸鏡檢查前噹晚與檢查噹日分次劑量服用PEG可以改善腸道清潔效果,減少老年患者單次大量服用 PEG引起的不良反應,提高檢查暘性率。
목적：비교노년환자분차제량여단차전제량복용복방취을이순전해질용액진행장도준비적효과급불량반응,총결장도준비적호리경험。방법장220례행결장경검사적노년환자근거계산궤생성적수궤수자표분위시험조화대조조,매조110례。시험조환자우결장경검사전1 d 17：00급검사당일6：00분차제량복용복방취을이순전해질산(PEG),매차1.5 L；대조조환자검사당일6：00단차전제량복용PEG 3L청길장도。채용Boston장도준비량표( BBPS)평고장도청길도,비교량조환자적불량반응급검사양성솔。결과시험조환자 BBPS 평분위(6.65±1.67)분,대조조환자 BBPS 평분위(6.14±1.91)분,량조비교차이유통계학의의(t=2.097,P<0.05)。시험조환자구토14례、복통34례、복창22례,균저우대조조(χ2치분별위4.400,4.111,4.002；P<0.05)；시험조결장식육급결장암검출솔위37.3%,고우대조조적24.5%(χ2=4.172,P<0.05)。결론채용결장경검사전당만여검사당일분차제량복용PEG가이개선장도청길효과,감소노년환자단차대량복용 PEG인기적불량반응,제고검사양성솔。
Objective To compare the efficacy and side effects of split-dose Polyethylene glycol-electrolyte solution ( PEG ) with full-dose preparation in the elderly for colonoscopy, and to summary the experience of nursing care. Methods A total of 220 elderly undergoing colonoscopy were randomly divided into experimental group ( group A) and control group ( group B) , 110 cases in each group. Group A took half the dose of PEG (1. 5 L) at 5 PM on the day before colonoscopy and the remaining half (1. 5 L) were instructed to drink at 6 AM on the day of colonoscopy. Group B took all the PEG (3 L) at 6 AM on the day of colonoscopy. The quality of bowel cleansing was assessed according to the Boston bowel preparation scale ( BBPS) , and side effects ( nausea, vomiting, abdominal pain, fatigue and hunger ) and complication were also observed. In addition, the polyps and tumors of colon detection were compared within the two groups. Results The level of bowel preparation in group A was superior to group B [(6. 65 ± 1. 67) vs (6. 14 ± 1. 91, t =2. 097, P <0. 05)], however, the incidence of side effects such as nausea and vomiting, abdominal pain and bloating in group A were 14 cases, 34 cases and 22 cases less than those of group B (χ2 =4. 400,4. 111,4. 002,respectively;P<0. 05). The detection rate of colonic polyps and tumors in group A (37. 3%) were also higher than that of group B (24. 5%) (χ2 =4. 172, P<0. 05). Conclusions The use of a split-dose PEG for bowel preparation before colonoscopy significantly improved bowel preparation. Split-dose preparation is associated with a lower incidence of side effects, and higher detection rate of colonic polyps and tumors in the elderly.
