【摘要】：目的明確影響聚乙二醇電解質(zhì)散腸道準(zhǔn)備質(zhì)量的患者因素。方法 2013年1月-2013年6月收集416例接受結(jié)腸鏡檢查口服2 000 ml復(fù)方聚乙二醇電解質(zhì)散進(jìn)行腸道準(zhǔn)備的患者,采用Boston腸道準(zhǔn)備量表對右半結(jié)腸(盲腸和升結(jié)腸)、橫結(jié)腸(包括肝曲和脾曲)、左半結(jié)腸(降結(jié)腸、乙狀結(jié)腸和直腸)進(jìn)行評分,并記錄患者年齡、性別、是否住院、腹部手術(shù)史、腸道準(zhǔn)備期間活動情況、有無便秘和結(jié)腸鏡檢查前2周內(nèi)服藥史。結(jié)果腸道準(zhǔn)備無效率為47.8%。住院狀態(tài)、年齡大于60歲、闌尾切除術(shù)、腹部多次手術(shù)史以及慢性便秘史是腸道準(zhǔn)備無效的危險因素。結(jié)論識別高�；颊�,進(jìn)行個體化處理,有助于提高腸道準(zhǔn)備質(zhì)量。
[Abstract]:Objective to determine the factors affecting the intestinal preparation quality of polyethylene glycol electrolyte powder. Methods from January 2013 to June 2013, 416 patients were examined by colonoscopy for intestinal preparation with 2000 ml compound polyethylene glycol electrolyte powder. The right colon (cecum and ascending colon), transverse colon (including liver curvature and spleen curvature), left hemicolon (descending colon, sigmoid colon and rectum) were evaluated with Boston intestinal preparation scale, and the age, sex, hospitalization and history of abdominal operation were recorded. During intestinal preparation, there was no history of constipation and colonoscopy within 2 weeks before colonoscopy. Results the ineffective rate of intestinal preparation was 47.8%. Hospitalization, over 60 years old, appendectomy, multiple abdominal surgery and chronic constipation were risk factors for ineffective intestinal preparation. Conclusion it is helpful to improve the quality of intestinal preparation by identifying high risk patients and individualized treatment.
【作者單位】： 安徽醫(yī)科大學(xué)第二附屬醫(yī)院消化內(nèi)科;安徽醫(yī)科大學(xué)第二附屬醫(yī)院內(nèi)鏡中心;安徽醫(yī)科大學(xué)流行病與統(tǒng)計教研室;
【基金】：安徽醫(yī)科大學(xué)校科研基金資助項目(No:2012xkj063)
【分類號】：R574.62

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本文編號：2508294