不同运动量对老年患者肠道准备清洁效果的影响

Effect of different amount of exercise on intestinal preparation and cleaning in elderly patients

目的探讨不同运动量对老年患者肠道准备清洁效果的影响。方法本研究收集自2019年5月至2019年10月于某三级甲等医院就诊的行结肠镜检查的老年患者170例,分为A组和B组,各85例。A组每口服500 mL聚乙二醇电解质散(PEG)溶液,患者运动步数控制在300~500步,且运动总步数控制在2000~3000步;B组每口服500 mL PEG溶液,患者运动步数控制在500~900步,且运动总步数控制在3000~5000步;观察和比较两组患者服药总时间、第一次排便时间、排便总次数、末次排便性状、肠道准备质量。结果B组患者肠道准备合格率及波士顿肠道准备量表(BBPS)评分均高于A组患者(P<0.01);B组患者服药总时间、第一次排便时间缩短,排便次数增多,末次排便性状优于A组患者(P<0.01)。结论运动总步数控制在3000~5000步能有效缩短老年患者肠道准备过程服药总时间、第一次排便时间,增加患者服药后排便总次数达到理想的肠道准备效果。

Objective To study the effect of different amount of exercises on the cleaning effect of intestinal preparation in elderly patients.Methods This study collected 170 elderly patients who underwent colonoscopy in a tertiary hospital from May 2019 to October 2019.They were divided into 2 groups,A and B groups,each with 85 patients.Group A:For each 500 mL of PEG solution,the patient′s exercise steps should be controlled at 300-500 steps,and the total exercise steps should be controlled at 2000-3000 steps;Group B:For each 500 mL of PEG solution,the patient′s exercise steps should be controlled at 500-900 steps,and the total number of exercise steps was controlled between 3000-5000 steps;We observed and compared the total medication time,first defecation time,total defecation times,last defecation characteristics,and intestinal preparation quality of the two groups of patients.Results The qualified rate of intestinal preparation and the Boston intestinal preparation scale(BBPS)scores of group B were higher than those of group A(P<0.01).The total medication time and the first defecation time were shorter in group B.The number of defecations increased,and the last defecation traits were better than those in group A(P<0.01).Conclusion Controlling the total number of exercise steps at 3000-5000 steps can effectively shorten the total time for intestinal preparation and the first defecation time for elderly patients,and increase the total number of defecations after taking the medicine to obtain the ideal intestinal preparation effect.