不同时间口服复方聚乙二醇电解质散在小儿肠镜检查前肠道准备中的应用对比

Comparison of the Application of Different Oral Time Schemes for Compound Polyethylene Glycol Electrolytes Powder in Colonoscopy Bowel Preparation in Children

目的:探讨不同时间口服复方聚乙二醇(PEG)电解质散在小儿肠镜检查前肠道准备中的应用效果。方法:选取2014年1月-2015年8月于本院门诊做肠镜检查的患儿84例,按照随机数字表法分为试验组与对照组,各42例。试验组和对照组患儿分别于手术前一晚睡觉前(术前12 h)和手术当日清晨(术前6 h)口服复方PEG电解质散进行肠道准备。比较两组肠道准备量表(BBPS)评分、依从性和不良反应。结果:两组BBPS总评分比较差异无统计学意义(P>0.05);试验组依从性良好率为95.24%,明显高于对照组的80.95%,比较差异有统计学意义(X^2=4.086,P=0.043);试验组不良反应发生率为4.76%(2/42),低于对照组的7.14%(3/42),但比较差异无统计学意义(P>0.05)。结论:肠镜检查患儿于术前12 h服用复方PEG电解质散行肠道准备可以提高患儿的依从性,更容易被患儿和家长接受,是比较合理的肠道准备方法。

Objective:To investigate the effect of different oral time schemes for compound polyethylene glycol(PEG)electrolytes powder in colonoscopy bowel preparation in children.Method:A total of 84 children with enteroscopy from January 2014 to August 2015 in our hospital were selected,according to the random number table method,they were divided into experimental group and control group,42 cases in each group.The experimental group and control group were given compound PEG electrolyte powder before bedtime(12 hours before operation)and early morning(6 hours before operation)before operation for intestinal preparation.The scores of Boston bowel preparation scale(BBPS),compliance and adverse reactions between two groups were compared.Result:The total score of BBPS in two groups was compared,the difference was not statistically significant(P>0.05).The good compliance rate of experimental group was 95.24%,which was significantly higher than 80.95%of control group,the difference was statistically significant(χ2=4.086,P=0.043).The incidence of adverse reactions in experimental group was 4.76%(2/42),which was lower than 7.14%(3/42)of control group,but the difference was not statistically significant(P>0.05).Conclusion:Intestinal preparation with compound PEG electrolyte at 12 hours before operation can improve the compliance of the children,and is more easily accepted by children and parents,which is a more reasonable method of bowel preparation.