结肠镜检查不同时间行肠道准备质量比较

Comparison of bowel preparation quality with different timing of bowel preparation for colonoscopy

目的比较结肠镜检查时不同时间行肠道准备的质量。方法将2019-10~2020-01该院接受结肠镜检查的非麻醉门诊及住院患者130例,按随机数字表法分为观察组(64例)和对照组(66例)。观察组于清晨5:00~7:00口服结肠清洁剂,上午完成结肠镜检查。对照组于上午10:00~12:00口服结肠清洁剂,下午完成结肠镜检查。由同一位经验丰富的内镜医师于检查后进行Boston肠道准备量表(BBPS)评分和肠腔内气泡评分,并记录肠道准备过程中患者不良反应的发生情况。结果130例患者均完成肠道准备及全结肠镜检查。观察组BBPS总分、左半结肠BBPS评分、中间结肠BBPS评分及右半结肠BBPS评分均明显高于对照组(P<0.01),而肠腔内气泡评分明显低于对照组(P<0.05),腹胀发生率明显低于对照组(P<0.05)。两组其余不良反应发生率比较差异无统计学意义(P>0.05)。结论清晨5:00~7:00服用结肠清洁剂肠道准备质量较好,患者腹胀的不良反应小,将更有助于发现肠道微小病灶并使患者顺利完成结肠镜检查。

Objective To compare the quality of bowel preparation at different time of bowel preparation for colonoscopy.Methods A total of 130 non-anesthetic outpatients and inpatients who underwent colonoscopy in Zhangzhou Hospital Affiliated to Fujian Medical University from October 2019 to January 2020 were divided into observation group(64 cases)and control group(66 cases)by random number table method.The observation group was given colon cleanser orally from 5:00 a.m.to 7:00 a.m.and colonoscopy was completed in the morning.The control group was given colon cleanser orally from 10:00 a.m.to 12:00 a.m.and colonoscopy was completed in the afternoon.Boston Bowel Preparation Scale(BBPS)score and Intestinal Cavity Bubble score were performed by the same experienced endoscopist after the examination,and the occurrence of adverse reactions in the patients during bowel preparation was recorded.Results Bowel preparation and total colonoscopy were completed in all the 130 patients.The total scores of BBPS,the BBPS scores of the left hemicolon,the BBPS scores of the middle colon and the BBPS scores of the right hemicolon in the observation group were significantly higher than those in the control group(P<0.01).The scores of Intestinal Cavity Bubble in the observation group were significantly lower than those in the control group(P<0.05).The incidence of abdominal distension in the observation group was significantly lower than that in the control group(P<0.05).There were no significant differences in the other adverse reactions between the two groups(P>0.05).Conclusion Patients taking colon cleanser orally from 5:00 a.m.to 7:00 a.m.in the morning have better bowel preparation quality and less adverse reaction of abdominal distension,which will be more conducive to the detection of intestinal microscopic lesions and the successful completion of colonoscopy.