摘要
目的探讨结肠镜检查术前使用不同剂量西甲硅油的肠道准备效果。方法150例结肠镜检查患者随机分成3组，各组50例，A．组使用复方聚乙二醇电解质散＋西甲硅油5ml进行肠道准备，A：组使用复方聚乙二醇电解质散＋西甲硅油10ml进行肠道准备，B组（对照组）单纯使用复方聚乙二醇电解质散进行肠道准备，比较各组在肠道清洁程度、祛泡效果、结肠镜检查操作时间、操作者对结肠镜检查的满意度以及患者对结肠镜检查的耐受程度方面存在的差异。结果A，组、A：组和B组祛泡满意率分别为98．0％（49／50）、100．0％（50／50）和80．0％（40／50），各组比较差异有统计学意义（x^2=17．855，P=0．000）。而各组在肠道清洁满意率（x^2=1．500，P=0．472）、结肠镜检查平均操作时间（Z=-0．333，P=0．765）、操作者对结肠镜检查的满意度（x^2=6．303，P=0．178）以及患者对结肠镜检查的耐受程度（x^2=8．238，P=0．083）方面差异无统计学意义。结论结肠镜检查术前肠道准备中常规使用复方聚乙二醇电解质散的同时联合使用西甲硅油，在不明显影响肠道清洁程度和患者术中耐受程度的前提下，可显著提高祛泡效果，5ml西甲硅油的剂量基本可以满足临床祛泡需要，而10ml剂量的祛泡效果更好。
Objective To observe the clinical effect of different doses of simethicone on the colonoscopy bowel preparation. Methods One hundred and fifty outpatients who received colonoscopy were randomly divided into three groups： group A1 （PEG plus 5 ml simethicone）, group A2 （PEG plus 10 ml simethicone） and group B （PEG = polyethylene glycol electrolyte）. The colonic cleaness, effect of removing bubbles, total procedure time, patients＇ satisfaction and tolerance were observed during the examination. Results The satisfaction with bubbles removal were 98.0% （49/50）, 100. 0% （50/50） and 80. 0% （40/50） with significant difference （X2 = 17. 855, P = 0. 000 ）. However, there was no difference in eleaness （X^2 = 1. 500, P = 0. 472）, total procedure time （ Z = - 0. 333, P = 0. 765 ）, patients＇ satisfaction （X^2 = 6. 303, P = 0. 178 ） and tolerance （X^2 = 8. 238,P = 0. 083 ）. Conclusion Simethicone is of benefit for colonoscopic bowel preparation in removing air bubbles, which can enhance visibility. Five ml dose of simethicone can meet the basic need of removing air bubbles, and 10 ml dose of simethicone can exert better effects.
出处
《中华消化内镜杂志》
2014年第10期579-582,共4页
Chinese Journal of Digestive Endoscopy
