消化内镜日间手术病房患者入院后行结肠镜肠道准备的可行性研究
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1.复旦大学附属中山医院内镜中心、复旦大学内镜诊疗研究所、上海消化内镜诊疗工程技术研究中心;2.复旦大学附属中山医院护理部

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上海消化内镜诊疗工程技术研究中心(16DZ2280900)


The status and feasibility of bowel preparation before colonoscopy in endoscopic ambulatory surgery ward
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Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University

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Shanghai Committee of Science and Technology (No.16DZ2280900)

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    摘要:

    目的:探讨患者入住日间病房后行结肠镜肠道准备的可行性。方法:对 2018年5月25日至7月13日在复旦大学附属中山医院内镜日间病房住院行结肠镜诊疗的352例患者进行问卷调查,除8例因第一次肠道准备失败未能完成结肠镜诊疗,分析其余344例患者的资料(包括一般资料、肠道准备相关资料、波士顿肠道准备量表评分)和患者主观感受。采用卡方检验和Logistic回归分析,分析肠道准备质量及其影响因素。结果:消化内镜日间手术病房患者肠道准备不合格发生率为18.0%(62/344)。结肠镜诊疗时间在上午(P=0.005,OR=2.505,95%CI:1.312~4.781)和末次排便性状为黄色有残渣(P=0.045,OR=0.475,95%CI:0.230~0.982)是肠道准备不合格的独立影响因素。患者耐受度88.1%(303/344),满意度77.9%(268/344),54.9%(189/344)愿意在必要时再次入住日间病房。结论:消化内镜日间病房患者入院后行结肠镜肠道准备可行但尚未达理想状态。

    Abstract:

    Objective To investigate feasibility of bowel preparation for colonoscopy in endoscopic ambulatory surgery ward. Methods, A total of 352 patients at endoscopic ambulatory surgery ward receiving colonoscopy at Zhongshan Hospital Fudan University from May 25, 2018 to July 13, 2018 were surveyed by questionnaires. Data of 344 patients, including patient demographics, bowel preparation information and Boston bowel preparation scores and subjective perception of patients, were analyzed, and data of 8 others were excluded because they did not complete colonoscopy for the first time due to failure of bowel preparation. Chi-square test and logistic regression analysis were conducted to analyze the quality of bowel preparation and its influencing factors. Results A total of 18.0%(62/344) of bowel preparations were inadequate. Morning colonoscopy (P=0.005,OR=2.505,95%CI:1.312-4.781) and yellow residual last stool before colonoscopy (P=0.045,OR=0.475,95%CI:0.230-0.982) were independent risk factors for inadequate bowel preparation. Patients’ tolerance was 88.1%(303/344), satisfaction was 77.9%(268/344), and 54.9%(189/344) were willing to be hospitalized in ambulatory surgery ward again if necessary. Conclusion Bowel preparation before colonoscopy in endoscopic ambulatory surgery ward is feasible but not optimal.

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蔡贤黎,沈月红,李全林,等.消化内镜日间手术病房患者入院后行结肠镜肠道准备的可行性研究[J].中华消化内镜杂志,2019,36(5):334-338.

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  • 收稿日期:2018-08-24
  • 最后修改日期:2019-04-16
  • 录用日期:2018-11-01
  • 在线发布日期: 2019-05-28
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