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二甲硅油给药时机对口服复方聚乙二醇电解质散肠道准备效果的影响 被引量:19
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作者 张迪 李华 +7 位作者 孟小芬 张心武 李玉婷 马琳 张萌 高显妮 张莉 王继欣 《中国现代医学杂志》 CAS 2019年第22期68-71,共4页
目的探讨二甲硅油给药时机对口服复方聚乙二醇电解质散肠道准备效果的影响。方法600例接受结肠镜检查的患者,采用随机数字表法分为A、B及C组,每组200例。A组患者于检查前4h服用复方聚乙二醇电解质散139.12g/2000 ml水;B组患者于检查前4 ... 目的探讨二甲硅油给药时机对口服复方聚乙二醇电解质散肠道准备效果的影响。方法600例接受结肠镜检查的患者,采用随机数字表法分为A、B及C组,每组200例。A组患者于检查前4h服用复方聚乙二醇电解质散139.12g/2000 ml水;B组患者于检查前4 h口服相同剂量的复方聚乙二醇电解质散,服完后即服用二甲硅油散5g;C组患者于检查前4h口服相同剂量的复方聚乙二醇电解质散,检查前1h服用二甲硅油5g。比较3组患者肠道准备评分、肠腔内气泡评分、进退镜时间及结肠镜镜头清晰度评分。结果C组患者肠道准备评分(9.35±0.45)高于A组(7.95±1.22)和B组(8.37±0.36)(P<0.05);C组患者肠腔内气泡评分(0.19±0.07)低于A组(0.45±0.15)和B组(0.30±0.10)(P<0.05);C组患者进退镜时间([8.15±1.20)和(9.35±0.60)min]短于A组([10.45±1.65)和(12.11±0.85)min]和B组([9.35±1.22)、(10.93±0.60)min](P<0.05);C组患者结肠镜镜头清晰度评分(0.78±0.13)低于A组(1.97±0.26)和B组(1.46±0.35)(P<0.05)。3组在研究过程中无不良事件发生。结论二甲硅油联合复方聚乙二醇电解质散可作为一种结肠镜检查前的肠道准备方案。二甲硅油检查前1 h服用,可有效降低肠腔内气泡量,提升镜检效率,肠道准备效果更佳。 展开更多
关键词 下胃肠道 胃肠内窥镜 结肠镜检查
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Study on the relationship between serum inflammatory factors and systemic target organ damage in severe acute pancreatitis patients
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作者 Hong-Jun Zhai xin-wu zhang +1 位作者 Xiao-Li Sun Shuang-Yu Ma 《Journal of Hainan Medical University》 2017年第14期13-16,共4页
Objective:To study the relationship between serums inflammatory factor levels and systemic target organ damage in patients with severe acute pancreatitis.Methods: A total of 85 patients who were diagnosed with severe ... Objective:To study the relationship between serums inflammatory factor levels and systemic target organ damage in patients with severe acute pancreatitis.Methods: A total of 85 patients who were diagnosed with severe acute pancreatitis in the Second Affiliated Hospital of Xi'an Jiaotong University between June 2013 and August 2016 were enrolled in SAP group, and 100 healthy volunteers who received physical examination during the same period were enrolled in control group. Then serum inflammatory factors, liver function injury indexes, renal function injury indexes and intestinal mucosal barrier function indexes as well as urine renal function injury indexes were determined.Results: Serum PCT, TNF-α, CRP, HMGB-1, ALT, AST, TBIL, BUN, Scr, CysC, DAO, D-lactate, Occludin and ZO-1 levels as well as urine NGAL and KIM-1 levels of SAP group were significantly higher than those of control group;serum PCT, TNF-α, CRP and HMGB-1 levels of patients with SAP were positively correlated with serum ALT, AST, TBIL, BUN, Scr, CysC, DAO, D-lactate, Occludin and ZO-1 levels as well as urine NGAL and KIM-1 levels.Conclusion:Abnormal release of inflammatory factors in serum of SAP patients can cause liver function, renal function and intestinal mucosal barrier function injury. 展开更多
关键词 Severe acute PANCREATITIS Inflammatory factor Liver FUNCTION RENAL FUNCTION INTESTINAL MUCOSAL barrier
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Study on the relationship between serum inflammatory factors and systemic target organ damage in severe acute pancreatitis patients
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作者 Hong-Jun Zhai xin-wu zhang +1 位作者 Xiao-Li Sun Shuang-Yu Ma 《Journal of Hainan Medical University》 2017年第15期19-22,共4页
Objective: To study the relationship between serums inflammatory factor levels and systemic target organ damage in patients with severe acute pancreatitis. Methods: A total of 85 patients who were diagnosed with sever... Objective: To study the relationship between serums inflammatory factor levels and systemic target organ damage in patients with severe acute pancreatitis. Methods: A total of 85 patients who were diagnosed with severe acute pancreatitis in the Second Affiliated Hospital of Xi'an Jiaotong University between June 2013 and August 2016 were enrolled in SAP group, and 100 healthy volunteers who received physical examination during the same period were enrolled in control group. Then serum inflammatory factors, liver function injury indexes, renal function injury indexes and intestinal mucosal barrier function indexes as well as urine renal function injury indexes were determined. Results: Serum PCT, TNF-α, CRP, HMGB-1, ALT, AST, TBIL, BUN, Scr, CysC, DAO, D-lactate, Occludin and ZO-1 levels as well as urine NGAL and KIM-1 levels of SAP group were significantly higher than those of control group;serum PCT, TNF-α, CRP and HMGB-1 levels of patients with SAP were positively correlated with serum ALT, AST, TBIL, BUN, Scr, CysC, DAO, D-lactate, Occludin and ZO-1 levels as well as urine NGAL and KIM-1 levels. Conclusion: Abnormal release of inflammatory factors in serum of SAP patients can cause liver function, renal function and intestinal mucosal barrier function injury. 展开更多
关键词 Severe acute PANCREATITIS Inflammatory factor Liver FUNCTION RENAL FUNCTION INTESTINAL MUCOSAL barrier
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