口含糖果对结肠镜检查前肠道准备质量的影响

Effect of oral candy on bowel preparation before colonoscopy

目的评价口含糖果对结肠镜检查前服用复方聚乙二醇电解质散(PEG)进行肠道准备的效果。方法选取2018年1―12月于钦州市第一人民医院行结肠镜检查的病人160例,按照随机数字表并结合病人意愿分为观察组和对照组各80例,对照组按照结肠镜检查常规行肠道准备及服药指导,观察组在对照组基础上指导其间歇有计划地口含糖果。比较两组肠道清洁度、服药达标率(服药量≥75%)、不良反应发生率及接受再次服药意愿。结果观察组肠道清洁度评分明显优于对照组(P<0.05)。观察组低血糖(1.27%比10.52%)、恶心(18.98%比32.89%)、及呕吐(7.59%比25.00%)发生率均明显低于对照组(P<0.05)。观察组服药达标率(98.73%比89.47%)、服药完成率(78.48%比63.16%)及口感满意度(82.27%比65.79%)均明显高于对照组(P<0.05)。结论结肠镜检查前有计划地间歇口含糖果可提高肠道清洁度,减少病人不良反应,提高病人口服泻药依从性。

Objective To evaluate the effect of oral candy on bowel preparation with intake of Polyethylene Glycol Electrolytes Powder(PEG)before colonoscopy.Methods A total of 160 patients,who were received colonoscopy in The First People’s Hospital of Qinzhou from January 2018 to December 2018,were enrolled in the study.The patients were randomized into 2 groups:control group(n=80)and observation group(n=80).Routine bowel preparation and medication instructions were performed on all patients of control group while instructions to hold candy in the mouth at intervals were added to patients in observation group.Comparison was made between the two groups of intestinal cleanliness,drug compliance rate(drug dose≥75%),adverse reaction rate,and willingness to take medicine again.Results The score of intestinal cleanliness in the observation group was superior to that of the control group(P<0.05).The incidences of hypoglycemia(1.27%vs.10.52%),nausea(18.98%vs.32.89%)and vomiting(7.59%vs.25.00%)in the observation group were lower than those in the control group(P<0.05),and the incidences of drug compliance rate(98.73%vs.89.47%),medication completion rate(78.48%vs.63.16%)and satisfaction rate of the taste(82.27%vs.65.79%)in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Scheduled holding candy in the mouth before colonoscopy can improve intestinal cleanliness,reduce adverse reaction and improve drug compliance of patients.