北京市某三甲医院结肠镜检查患者肠道清洁状况及其影响因素分析

Intestinal cleaning status and its influential factors for patients undergoing colonoscopy in a Class Ⅲ Grade A hospital in Beijing

目的了解结肠镜检查患者的肠道清洁状况，并分析其影响因素。方法采用便利抽样法，选取2017年1～9月在北京市某三甲医院内镜中心接受结肠镜检查的患者340例，调查患者一般资料、相关疾病清况、检查前饮食情况及肠道准备执行情况，依据波士顿肠道准备量表（BBPS）评价患者肠道清洁状况。结果本组340例患者中，肠道准备充分者占67．9％，不充分者占32．1％。多因素LoDstic回归分析结果显示，男性（OR=2．514）、有腹部外科手术史（OR=2．145）、合并糖尿病（OR=2．091）、当日中午进食（OR=3．381）为肠道准备不充分的危险因素（P〈0．05）。结论目前临床结肠镜检查患者肠道清洁效果不理想，医务人员尤其应关注男性、有腹部外科手术史、合并糖尿病的患者肠道清洁状况，以提高肠道准备质量。

Objective To investigate intestinal cleaning status of the patients undergoing colonoscopy, and to analyze the potential influential factors. Methods A total of 340 patients undergoing colonoscopy in the endoscopy center of a Class m Grade A hospital in Beijing from January to September 2017 were recruited into this study by convenience sampling method. The patients＇ general situation, disease condition, dietary and the implementation of bowel preparation were recorded. The intestinal cleaning status was scored according to the Boston Bowel Preparation Scale （BBPS）. Results Of the 340 patients included in this study, 67.9% had adequate bowel preparation, and the other 32.1% had not. Logistic regression analysis showed that male （0R=2.514）, abdominal surgery history （0R=2.145）, diabetes mellitus （0R=2.091）, lunch at noon （0R=3.381） were the influential factors of intestinal cleanliness. Conclusions At present, the intestinal cleaning status is unsatisfactory. Medical staff should pay attention to male, patients with abdominal surgery history or diabetes mellitus, so as to have a better quality for the bowel preparation.