老年人肠镜检查前不同肠道准备方法的比较研究

Clinical Observation of Intestinal Preparation with Oral Electrolytic Solution Instead of Traditional Cleaning Enema in Elderly Patients for Colonoscopy

目的 改善老年人纤维肠镜检查的肠道准备效果。方法 检查前1d晚上和检查前1h分别口服电解质溶液(配方:KCl 1.5 g、NaCl 12.28 g、NaHCO_3 5.88 g,加温开水至2000 ml,渗透压278 mOsm/kg.H2O),30 min内服完。结果 优化组和改良组满意率分别为99％、95％(P<0.5)。依从性分别为97％、93.6％、P<0.5。二组患者的副反应比较,优化组显著少于改良组。结论 老年人应用优化或改良法口服电解质溶液可替代清洁灌肠。

Objective To improve the effect of intestinal tract preparation for fiberoptic colonscopy in elderly patients. Methods About one hour before the examination, 2 000 ml electrolytic solution (KCl 1.5 g, NaCl 12.28 g, NaHco_3 5.88 g and lukewarm water,OP 78 mOsm/kg. H_2O) was administered orally within 30 minutes. Results The modified method was better than the other methods. The satisfact ory ratio was 99%、95%(P<0.5);the comphance degree was 97%、93.6%(P<0.5). Conclusion Oral electrolytic solutiony could substitute for conventional cleaning enema in elderly patients for fiberoptic colonoscopy.