结肠镜后行胶囊内镜检查患者肠道准备方式的探讨

Study on intestinal preparation of patients undergoing capsule endoscopy after colonoscopy

目的探讨结肠镜检查结束后行胶囊内镜检查患者肠道准备方式,在增加检查依从性的同时不影响肠道准备质量。方法回顾性分析重庆医科大学附属第二医院2014年1月-2017年12月结肠镜后行胶囊内镜检查的患者89例。对照组(n=41),结肠镜结束后立即行胶囊内镜检查;观察组(n=48),结肠镜结束后第2天服用1 L复方聚乙二醇电解质散(PEG),再行胶囊内镜检查。比较两组患者小肠黏膜质量、阳性病变检出率,观察依从性和不良反应等。结果观察组患者较对照组具有更好的小肠黏膜质量(64.6%和41.5%,P<0.05),两组患者阳性病变检出率和不良反应无明显差异,依从性均较好。结论结肠镜检查后第2天服用小剂量PEG后行胶囊内镜检查能达到更好的肠道准备效果,依从性好,值得临床推广。

Objective To study on intestinal preparation of patients undergoing capsule endoscopy after colonoscopy while increase patients compliance without affecting bowel preparation quality.Methods The patients underwent capsule endoscopic examination after colonoscopy were retrospectively studied from January 2014 to December 2017,including 41 patients in the control group and 48 patients in the observation group(low dose polyethylene glycols group).The differences of intestinal visualization quality,capsule endoscopy findings,compliance and adverse reaction were compared between the two groups.Results The intestinal visualization quality of the observation group was better than that of the control group(64.6%vs 41.5%,P<0.05).There was no significant difference in the capsule endoscopy findings and adverse reaction between the two groups.The compliance was all good.Conclusion The intestinal preparation was better by using low dose polyethylene glycols(PEG)undergoing capsule endoscopy after colonoscopy,and the compliance was fine.It was worth popularizing application clinically.