Effect on intestinal preparation during enteroscopy in elderly patients after taking Dimethicone Powder at different times
CHEN Zhao-wu1 LIN Zi-han1 JIANG Zhi-bin1 LIN Yu1 ZHOU Mei-jun1 CHEN Bo-la2 CHEN Ze-ting2
1.Department of Gastroenterology, Puning Overseas Chinese Hospital, Guangdong Province, Puning 510515, China;
2.Endoscopy Center, Puning Overseas Chinese Hospital, Guangdong Province, Puning 510515, China
摘要目的 探讨老年患者不同时间服用二甲硅油散对肠镜检查肠道准备的影响。方法 选取2018年6月～2019年6月我院消化科收治的需行肠镜检查的200例患者作为研究对象，按照随机数字表法分为A组（65例）、B组（70例）与C组（65例）。患者于检查前6 h 开始服用洗肠液，2 h 内服用完。A组患者于服完洗肠液后立即服用二甲硅油散；B组患者于肠镜检查前1 h 服用二甲硅油散；C组患者于肠镜检查前0.5 h 服用二甲硅油散。比较三组患者肠镜检查的耐受度，应用Boston 肠道准备度量表（BBPS）对三组患者肠道清洁度进行评分，并观察三组患者的肠道气泡含量。结果 B组患者肠镜检查的耐受度优于A组和C组，差异有统计学意义（P<0.05）；三组患者的肠道清洁度评分比较，差异无统计学意义（P＞0.05）；B组患者的肠道气泡含量少于A组和C组，差异有统计学意义（P<0.05）。结论 老年患者服用洗肠液后于肠镜检查前1 h 服用二甲硅油散的临床效果理想，能够有效提高祛泡效果，提高患者对肠道镜检查的耐受度。
Abstract：Objective To investigate the effect on intestinal preparation during enteroscopy in elderly patients after taking Dimethicone Powder at different times.Methods A total of 200 patients who underwent enteroscopy in the gastroenterology department of our hospital from June 2018 to June 2019 were selected as the subjects.According to the random number table method, they were divided into group A (65 cases), group B (70 cases) and group C (65 cases).The patient began to take the intestinal lavage 6 hours before the examination and finished within 2 hours.Patients in group A were given Dimethicone Powder immediately after taking the intestinal lavage solution.Patients in group B took Dimethicone Powder one hour before enteroscopy.Patients in group C were given Dimethicone Powder 0.5 hours before enteroscopy.The tolerance of enteroscopy was compared among the three groups, and the intestinal cleanliness of the three groups was scored by Boston intestinal preparation scale (BBPS), and the intestinal bubble content of the three groups was observed.Results The tolerance of enteroscopy in group B was better than that in group A and C, the difference was statistically significant (P<0.05).There were no significant differences in the intestinal cleanliness scores among the three groups (P>0.05).The content of intestinal bubbles in group B was lower than that in group A and group C, the difference was statistically significant (P<0.05).Conclusion The clinical effect of Dimethicone Powder taken by the elderly patients 1 hour before enteroscopy after taking intestinal lavage solution is ideal, which can effectively improve the effect of defoaming and the tolerance of patients to colonoscopy.
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