口香糖对便秘患者结肠镜检查前肠道准备效果的影响

Effect of chewing gum on bowel preparation before colonoscopy in patients with constipation

目的探究口香糖对便秘患者结肠镜检查前肠道准备效果的影响。方法选择2017年11月-2018年12月于烟台业达医院行结肠镜检查的68例便秘患者,按照随机数表法分为对照组和观察组,每组各34例。对照组患者采用常规肠道准备的方式,观察组患者在对照组的基础上,取无糖口香糖进行咀嚼,对两组患者肠道清洁度、息肉检出率和不良反应发生状况进行对比分析。结果观察组患者右段结肠清洁效果评分与对照组比较,差异有统计学意义(P<0.05),其余各段结肠清洁效果评分和总评分都高于对照组患者但差异无统计学意义;观察组患者检出小息肉7例,检出率为20.6%,对照组患者检出小息肉6例,检出率为17.6%,差异无统计学意义(P>0.05);观察组患者检出小息肉16个,对照组患者检出小息肉10个,观察组患者检出小息肉明显多于对照组,差异有统计学意义(P<0.05);观察组恶心、呕吐、睡眠不良、腹痛和腹胀发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论便秘患者在行结肠镜检查时,采用常规的复方聚乙二醇电解质散(SF-PEG)联合咀嚼口香糖的方式进行肠道准备,可以有效提高患者肠道清洁程度,完成肠道准备,减少病灶遗留,同时减少患者不良反应的发生,建议临床推广。

Objective To explore the effect of chewing gum on bowel preparation before colonoscopy in patients with constipation.Methods 68 patients with constipation underwent colonoscopy from November 2017 to December 2018 were divided into control group and observation group according to the random number table method,34 cases in each group.The control group used conventional bowel preparation.On the basis of the control group,the patients in the observation group were chewed with sugar-free chewing gum,and the intestinal cleanliness,polyp detection rate and adverse reaction occurred between the two groups were compared and analyzed.Results In the observation group,the score of the right colon cleansing effect was significantly higher than that of the control group.The other colon cleansing scores and total scores were higher than the control group,but the difference was not obvious.The observation group detected 7 small polyps,the detection rate was 20.6%,6 patients with small polyps were detected in the control group,the detection rate was 17.6%,the difference was not statistically significant(P>0.05);16 patients with small polyps were detected in the observation group,and 10 small polyps were detected in the control group.The number of small polyps detected in the observation group was significantly higher than that in the control group(P<0.05).The incidence of nausea,vomiting,poor sleep,abdominal pain and abdominal distension in the observation group were significantly lower than those in the control group.Academic significance(P<0.05).Conclusion In patients with constipation,colonoscopy is performed by conventional SF-PEG combined with chewing gum.It can effectively improve the intestinal cleansing effect,complete intestinal preparation,reduce the residual of the lesion,and reduce the occurrence of adverse reactions,recommended clinical promotion.