两种肠道准备方法在结肠镜检查中的应用效果比较

Comparison on Application Efficacy of Two Intestinal Preparation Methods in Enteroscopy

为探讨一种理想的为结肠镜检查做准备的肠道清洁方法,将于我科就诊且需行结肠镜检查的122例患者随机分为A组和B组,各61例,A组口服20%甘露醇清洁肠道,B组口服复方聚乙二醇电解质散清洁肠道。比较2组患者肠道清洁度、清肠剂顺应性、排便情况及不良反应。结果显示,B组患者肠道清洁度优良率(83.61%,51/61)高于A组(60.66%,37/61),P<0.05;2组患者清肠剂顺应性情况比较,B组在气味、口感及服用量方面的可接受程度明显高于A组,P<0.05;B组口服清肠剂后的排便次数明显少于A组,而且开始排便距服药时间、最后排便距服药时间明显短于A组,P<0.05。B组不良反应发生率(8.20%,5/61)明显低于A组(22.95%,14/61),P<0.05。结果表明,与口服甘露醇相比,口服复方聚乙二醇电解质散为结肠镜检查者进行肠道准备肠道清洁效果更好,患者对清肠剂的顺应性更高,更易于接受,不失为一种理想的肠道准备方法。

This study was to seek an ideal intestinal preparation method for enteroscopy,enrolled 122 cases treated and to be subject to enteroscopy in author’s department,and randomly divided them into group A and group B;group A(61 cases)orally administered 20%of mannitol for cleaning intestinal tract,group B(61 cases)instead of compound macrogol electrolyte so did;then compared clean degree of intestinal tract,compliance of clearing agent,patients’defecation situation,and untoward reaction between group A and group B.As results,in fine rate of clean degree group B was higher than group A[83.6%(51/61)vs 60.66%(37/61),P<0.05];in the complicace of clearing agents(i.e acceptance of smell,texture and dose administered)group B was higher than group A(P<0.05);after administered clearing agent patients’defecation frequency in group B was significantly less than that in group A,and,the time from administration of drugs to starting defecation,as well to final defecation in group B were significantly shorter than that in group A(P<0.05);as for untoward reaction incidence group B was significantly lower than group A[8.20%(5/61)vs 22.95%(14/61),P<0.05].Results show that compound macrogol has more better clean efficacy,more higher compliance,more acceptable to patients than mannitol,thus it is perfect.