口服复方聚乙二醇电解质散对肠道清洁质量的影响因素分析
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1.首都医科大学附属北京友谊医院消化分中心;2.首都医科大学附属北京友谊医院护理部;3.首都医科大学附属北京友谊医院消化分中心内镜中心;4.首都医科大学附属北京友谊医院消化分中心实验中心;5.首都医科大学附属北京友谊医院消化分中心胃肠肝胆一科;6.首都医科大学附属北京友谊医院消化分中心胃肠肝胆二科

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Analysis of influence factors of oral preparation of oral compound Polyethylene Glycol Electrolytes for intestinal cleaning quality of patients with colonoscopy
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    摘要:

    目的 探讨口服复方聚乙二醇电解质散对肠道清洁质量的影响因素。方法 选取2016年3月至2016年11月住院行结肠镜诊疗且符合入排标准的155例患者,采用Boston肠道评分量表对每位患者左半结肠、横结肠、右半结肠及全结肠肠道清洁度进行评分,并对患者身高、体重、年龄、检查前一天饮食、检查当天服复方聚乙二醇电解质散的剂量、时间、总时长、首次排便时间、排便总次数、服药-首次排便间隔时长、服药-进镜间隔时长等因素进行记录,采用累积比数logit模型、趋势卡方检验进行统计分析,以P<0.05为差异有统计学意义。结果 ① 严格控制饮食者左半结肠(χ2=6.647, P=0.010)、横结肠(χ2=8.859, P=0.003)、右半结肠(χ2=4.058, P=0.044)、全结肠(χ2=6.264, P=0.012)清洁度相比限制饮食者清洁度评分较高;② 检查当日排便>10次者左半结肠清洁度评分较高(χ2=4.209, P=0.040),但右半结肠与横结肠的清洁度评分差异无统计学意义;③ 患者服药-进镜间隔时长≤500 min者左半结肠(χ2=5.046, P=0.025)、横结肠(χ2=4.127, P=0.042)、右半结肠(χ2=6.562, P=0.010)、全结肠(χ2=5.507, P=0.019),清洁度评分均较高;④ 服药-首次排便间隔≤60 min者右半结肠的清洁度评分较高(χ2=3.937, P=0.047),左半结肠与横结肠的清洁度评分差异则无统计学意义。结论 患者饮食控制情况、服用复方聚乙二醇电解质散后到首次排便时间、检查当日排便总次数、服药-进镜时长均对肠道清洁质量有影响,应制定个体化、规范化的肠道准备方案,加强对排便的观察与记录,提高肠道清洁质量。

    Abstract:

    Object The quality of bowel preparation is the key to colonoscopy. Effective bowel preparation can reduce the rate of missed diagnosis and improve the detection rate of intestinal diseases. The purpose of this study is to investigate the influencing factors of oral administration of compound polyethylene glycol on bowel cleaning quality. Methods From March 2016 to November 2016 to November 2016, the patients who underwent colonoscopy in our hospital and met the criteria for admission were enrolled in our study. The intestinal Boston rating scaleon left colon, transverse colon, right colon and the whole colon were recorded for each patient. The height, weight , age, the diet a day before the colonscope, the dose, time ,total dosing time of polyethylene glycol electrolyte powderthe first defecation time, the total defecation frequency , the interval from the first dose to the first defecation, the interval from the first dose to colonscope were recorded , too., The cumulative odds logit model and the trend chi square test were used for statistical analysis. The statistical significance of P<0.05 was statistically significant. Result There were 155 patients enrolled in the study. The cleanliness of left colon (X2=6.276,P=0.012), transverse colon (X2=6.302,P=0.012), right colon (X2=4.068,P=0.044), the whole colon (X2=6.264,P=0.012), no matter the patients have strict Restricted diet or not ,had significant difference ;The cleanliness score of left colon when the patients had more than 10 times defecation were significantly higher than other patients (X2=4.209,P=0.040), but there was no difference in cleanliness between the right colon and transverse colon; The cleanliness of the left colon (X2= 3.909,P=0.048)), transverse colon (X2=4.732,P= 0.030), right colon (X2=6.562,P= 0.010) and the whole colon (X2=5.507,P= 0.019) had significant differences comparing the patients whohad the less than 500 minutes interval from the first dose to colonscope than other patients. others. The cleanliness score of the right colon, whose interval from first dose to first defection was more than 60 minutes was obviously lower than the other patients’(X2=4.753,P= 0.029). However, there is no difference in cleanliness of left colon and transverse colon. Conclusion Diet control of patients, the interval from taking compound polyethylene glycol to the first defecation, defecation frequency, and the interval from taking medication to colonscope, should be individualized and standardized into bowel preparation program.Strengthen the observation and record of defecation to improve intestinal cleaning quality.

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韦键,杜建枕,刘丽华,等.口服复方聚乙二醇电解质散对肠道清洁质量的影响因素分析[J].中华消化内镜杂志,2019,36(3):204-207.

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  • 收稿日期:2017-12-07
  • 最后修改日期:2019-01-04
  • 录用日期:2017-12-19
  • 在线发布日期: 2019-03-25
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