摘要
目的 :探讨提高结肠镜检查肠道准备效果的方法。方法 :观察组检查前 3d服西沙必利 5mg ,3次 /d ,检查前晚服 5 0 %硫酸镁溶液 90ml;对照组不服西沙必利。肠道清洁度差者 ,开塞露 2支注入直肠 ,排便后作结肠镜。结果 :观察组 2 0 5例 ,对照组 2 0 6例。清洁者 5 5 .1%和 2 0 .9% ,良好 2 8.3 %和 19.4% ,尚可 13 .7%和 34.9% ,差 2 .9%和 2 4.8% ;插镜达盲肠或回肠末段者 70 .7%和 5 8.7%。 32例使用开塞露者 ,清洁 6 5 .6 %。良好2 8.1%。结论 :西沙必利对结肠镜检查肠道准备有良好的促进作用。开塞露是肠道清洁度差者理想的补救方法。
Objective: To investigate the methods of improving effect of bowel preparation for colonoscopy. Methods: The patients were randomly divided into two groups (A and B). All patients took low residue diet for two days, drank 90ml of 50% magnesium sulfate solution and then some 3000ml water in evening of the day before colonoscopy, but group A received 5mg of cisapride three time a day for three days before colonoscopy. Endoscopists were blinded to the assignment way of bowel preparation. The cleaning grade of bowel preparation was established as excellent, good, fair and poor. 40 ml of 50% glycerin solution were injected into rectum of the patients with poor cleaning grades, after they had excreted stool colonoscopy again was done. Results: Group A and B were 205 and 206 patients respectively. In A and B, the cleaning grade of bowel preparation were : excellent 55.1% and 20.9% (P<0.005), good 28.3% and 19.4% (P<0.05), fair 13.7% and 34.9% (P<0.005), poor 2.9% and 24.8% (P<0.005) respectively. The patients whose cecum and terminal ileum was reached were 70.7% and 58.7% (P<0.05). Side effect were: abdominal pain 4.4% and 0.9% (P<0.05), bloating 1.0% and 9.2% (P<0.005) respectively. In 32 patients having used glycerin, excellent grade was 65.6 %, good 28.1%, fair 6.3%. Conclusions: Cisapride has better effect on bowel preparation for colonoscopy. Introducing 40ml of 50% glycerin solution into rectum is an ideal remedy to the patients with poor colon cleaning grade for colonoscopy.
出处
《中国内镜杂志》
CSCD
2001年第4期28-29,31,共3页
China Journal of Endoscopy
