结肠水疗在糖尿病患者结肠镜检查肠道准备中的应用研究

Application Research of Colon Hydrotherapy in Bowel Preparation for Colonoscopy in Patients with Diabetes Mellitus

目的探讨结肠水疗法在糖尿病患者结肠镜检查肠道准备中应用价值。方法将2020年1月-2021年12月桂林市人民医院收治的106例因疑有肠道疾病,需行结肠镜检查的糖尿病患者随机分为研究组(58例)和对照组(48例)两组。研究组口服复方聚乙二醇电解质散溶液1 L联合结肠水疗法,对照组口服复方聚乙二醇电解质散溶液2 L进行肠道准备。观察并记录两组患者在肠道准备中有无恶心、呕吐、腹胀及腹痛等不良反应,记录两组患者口服清肠液后2 h和结肠水疗结束时血糖、肠道清洁度评分、结直肠腺瘤检出例数,并对两组资料进行分析比较。结果研究组在肠道准备过程中不良反应发生率低于对照组,肠道清洁度合格率、结直肠腺瘤检出率高于对照组(P<0.05);两组患者肠道准备过程中均无低血糖发生。结论结肠水疗法联合口服复方聚乙二醇电解质散溶液进行肠道准备,能减少糖尿病患者肠道准备过程中的不良反应,肠道清洁度合格率、结直肠腺瘤检出率高,安全性高。

Objective To investigate that application value of colon hydrotherapy in intestinal preparation for colonoscopy in diabetes mellitus.Methods A total of 106 diabetes mellitus who needed colonoscopy due to suspected intestinal diseases undergoing colonoscopy were randomly divided into a study group(58 cases)and a control group(48 cases).The study group was orally administrated with 1 L compound polyethylene glycol electrolyte powder solution combined with colon hydrotherapy and the control group was orally administrated with 2 L compound polyethylene glycol electrolyte powder solution for intestinal preparation.Adverse reactions such as nausea,vomiting,abdominal distension and abdominal pain in the intestinal preparation of the patients in the two groups were observed and recorded.The blood glucose,intestinal cleanliness score and the number of colorectal adenoma detected in the patients of the two groups after oral administration of compound polyethylene glycol electrolyte powder for 2 h and at the end of colon hydrotherapy were recorded,and the data of the two groups were analyzed and compared.Results The incidence of adverse reactions during intestinal preparation in the study group was lower than that in the control group,the qualified rate of intestinal cleanliness and the detection rate of colorectal adenoma were higher than those in the control group(P<0.05).There was no hypoglycemia during the intestinal preparation in both groups.Conclusion Colon hydrotherapy combined with oral administration of compound polyethylene glycol electrolyte powder for intestinal preparation can significantly reduce the adverse reactions in the intestinal preparation of diabetes mellitus,with high qualified rate of intestinal cleanliness,detection rate of colorectal adenoma,and high safety.