中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2015年
6期
375-377
,共3页
结肠镜检查%肠道准备%乳果糖%聚乙烯二醇类
結腸鏡檢查%腸道準備%乳果糖%聚乙烯二醇類
결장경검사%장도준비%유과당%취을희이순류
Colonoscopy%Bowl preparation%Lactulose%Polyethylene Glycols
目的 对比乳果糖口服液联合聚乙二醇电解质散与单纯使用聚乙二醇电解质散进行肠道准备效果.方法 采用开放式随机对照方式,将121例拟行结肠镜检查者分为试验组61例(服用乳果糖口服液及聚乙二醇电解质散)和对照组60例(单独服用聚乙二醇电解质散).结果 参照波士顿肠道准备评分标准,试验组为(7.07±0.79)分,对照组为(6.18 ±1.03)分,组间差异有统计学意义(P=0.000).到达回盲部所用时间:试验组(8.80±1.74) min,对照组(9.22±1.94)min,组间差异无统计学意义(P =0.220).大肠息肉检出率:试验组22.95％,对照组15.00％,组间差异无统计学意义,但直径≤0.5 cm的小息肉发现率试验组明显高于对照组(P =0.038).试验组及对照组均无明显不良反应.结论 乳果糖口服液联合聚乙二醇电解质散进行肠道准备,其疗效优于单纯使用聚乙二醇电解质散,可提高小息肉的检出率,并且其安全性好,未发现明显不良反应.
目的 對比乳果糖口服液聯閤聚乙二醇電解質散與單純使用聚乙二醇電解質散進行腸道準備效果.方法 採用開放式隨機對照方式,將121例擬行結腸鏡檢查者分為試驗組61例(服用乳果糖口服液及聚乙二醇電解質散)和對照組60例(單獨服用聚乙二醇電解質散).結果 參照波士頓腸道準備評分標準,試驗組為(7.07±0.79)分,對照組為(6.18 ±1.03)分,組間差異有統計學意義(P=0.000).到達迴盲部所用時間:試驗組(8.80±1.74) min,對照組(9.22±1.94)min,組間差異無統計學意義(P =0.220).大腸息肉檢齣率:試驗組22.95％,對照組15.00％,組間差異無統計學意義,但直徑≤0.5 cm的小息肉髮現率試驗組明顯高于對照組(P =0.038).試驗組及對照組均無明顯不良反應.結論 乳果糖口服液聯閤聚乙二醇電解質散進行腸道準備,其療效優于單純使用聚乙二醇電解質散,可提高小息肉的檢齣率,併且其安全性好,未髮現明顯不良反應.
목적 대비유과당구복액연합취을이순전해질산여단순사용취을이순전해질산진행장도준비효과.방법 채용개방식수궤대조방식,장121례의행결장경검사자분위시험조61례(복용유과당구복액급취을이순전해질산)화대조조60례(단독복용취을이순전해질산).결과 삼조파사돈장도준비평분표준,시험조위(7.07±0.79)분,대조조위(6.18 ±1.03)분,조간차이유통계학의의(P=0.000).도체회맹부소용시간:시험조(8.80±1.74) min,대조조(9.22±1.94)min,조간차이무통계학의의(P =0.220).대장식육검출솔:시험조22.95％,대조조15.00％,조간차이무통계학의의,단직경≤0.5 cm적소식육발현솔시험조명현고우대조조(P =0.038).시험조급대조조균무명현불량반응.결론 유과당구복액연합취을이순전해질산진행장도준비,기료효우우단순사용취을이순전해질산,가제고소식육적검출솔,병차기안전성호,미발현명현불량반응.
Objective To compare the effectiveness of lactulose oral solution combined with PEG-4000 electrolyte lavage solution with PEG-4000 electrolyte lavage solution only in colonoscopy preparation.Methods A total of 121 patients preparing for colonoscopy were randomly divided into two groups:61 patients in lactulose oral solution combined with PEG-4000 electrolyte lavage solution group (the experimental group =group A),and 60 patients in PEG-4000 electrolyte lavage solution group(the control group =group B).During the colonoscopy,the endoscopist blindly scored the cleanness of the bowel,and recorded any adverse event to assess the safety.Results According to the Boston bowel preparation scale,the experimental group scored 7.07 ±0.79,and the control group scored 6.18 ± 1.03,which showed significant significance(P =0.000).There was no significant difference in the time of accessing rectum between the two groups[(8.80 ± 1.74) min VS(9.22 ± 1.94) min,P =0.220].Polyp detection rate in group A was higher than that in group B,with no significant difference (22.95％ VS 15.00％,P ＞ 0.05).The small polyp (≤0.5 cm)detection rate in group A was higher than that in group B with significant significance(P =0.038).No adverse event was recorded in either group.Conclusion The bowel preparation with lactulose oral solution combined with PEG-4000 electrolyte lavage solution is more effective than that with PEG-4000 electrolyte lavage solution alone.It will enhance the detection rate of small polyps with no evident adverse reactions.
