甘露醇加番陈汤行肠道准备的效果研究

Effect study for the intestinal preparation by mannitol plus senna-orange soup

目的探讨口服甘露醇加番陈汤在静脉肾盂造影(IVP)前行肠道准备的效果。方法选择需行IVP检查的门诊、住院患者486例,随机分为A组:清洁灌肠组,148例;B组:口服甘露醇组,159例;C组:口服甘露醇加番陈汤组,179例,将三组患者的腹部X片评定分级后再进行比较,并将数据进行统计处理。结果口服甘露性醇加番陈汤方法肠道清洁总有效率、Ⅰ级片率分别为98.9%、81%,均占三组之首,经秩和、χ2检验,差异有显著意义(P<0.005)。其不良反应发生率经χ2检验与B组比较无统计学意义(P>0.05)。结论甘露醇加番陈汤清洁肠道,效果显著,不良反应发生率低,操作性强,可作为临床IVP肠道准备的一种常规方法。

Objective To study the effect for intestinal preparation by taking mannitol plus senna-orange soup for intravenous pyelography （IVP）. Method 486 cases outpatients and inpatients needed to take IVP were divided into three groups, group A（clean enema ） 148 cases, group B（take mannitol orally ）159 cases and group C（take mannitol plus senna-orange soup）179 cases. All of the abdomen X- ray photography were evaluated and graded, the data were analyzed. Result The total effective rate and the first grading films rate was 98.9%and 81% respectively of the intestinal preparation by taking mannitol plus senna orange soup, they were the best in the three groups. The data were significance difference by sum of ranks and chi square test （P〈0. 005）. In the mean time, their adverse effect incidence rate were no significance by chi-square test （P〉0.05）. Conclusion It could be a clinical routine way of intestinal preparation for IVP by taking mannitol plus senna-orange soup for cleaning enema.