不同肠道准备方法在小儿结肠镜检查中的临床研究

Clinical Research of Different Bowel Preparation Before Colonoscopy in the Pediatric Patients

目的探讨小儿结肠镜检查前的最佳肠道准备方法。方法将160例拟行结肠镜检查的小儿随机分为4组,分别为早晨口服复方聚乙二醇电解质散组(A组)、早晨口服甘露醇组(B组)、早晨口服硫酸镁组(C组)及晚上口服复方聚乙二醇电解质散组(D组),观察各组的肠道清洁度和不良反应。结果 A组的肠道清洁度优于B组、C组(P<0.05),A组与D组的肠道清洁度差异无统计学意义(P>0.05),A组的不良反应较B组、C组及D组少(P<0.05)。结论早晨口服复方聚乙二醇电解质散进行肠道准备是安全、有效的方法,不良反应少,适合于小儿行结肠镜检查前的肠道准备。

Objective To investigate the best way of bowel preparation before colonoscopy in the pediatric patients. Methods 160 cases of pediatric patients preparing for colonoscopy were randomly divided into four groups：oral polyethylene glycol electrolyte powder in the morning group（group A）, oral mannitol group（group B）, oral magnesium sulfate group（group C）, oral polyethylene glycol electrolyte powder at night group （group D）. The intestinal cleanliness and adverse reactions of each group were observed. Results The intestinal cleanliness of group A was better than that of group B and group C （P〈0.05）, there was no any significant difference between group A and group D in the intestinal cleanliness（P〉0.05）. The adverse reactions of group A was less than group B, group C and group D （P〈0.05）. Conclusion The way that oral polyethylene glycol electrolyte powder in the morning is effective and safe. It is best way of bowel preparation for colonoscopy in the pediatric patients.