復方聚乙二醇聯合二甲硅油在結腸鏡檢查中的應用效果觀察

盛珺　姜莉　安然

摘 要：目的 探討復方聚乙二醇聯合二甲硅油在結腸鏡檢查中的應用效果。方法 選取我院收治的100例接受無痛腸鏡檢查的患者，隨機分為對照組和實驗組，每組50例。對照組口服復方聚乙二醇電解質散，實驗組在行腸道準備后口服復方聚乙二醇散以及二甲硅油，對比兩組患者的腸道內氣泡量存在程度、檢查操作總時間以及腸道清潔程度。結果 實驗組患者的檢查操作總時間為（11.60±1.50）min，短于對照組的（17.10±2.31）min，差異具有統計學意義（P<0.05）。實驗組患者腸道清潔程度Ⅰ級+Ⅱ級46例，Ⅲ級+Ⅳ級4例；而對照組患者腸道清潔程度Ⅰ級+Ⅱ級47例，Ⅲ級+Ⅳ級3例，組間對比，差異無統計學意義（P>0.05）。實驗組患者腸道內氣泡量Ⅰ級49例，Ⅱ級1例，而對照組患者腸道內氣泡量Ⅰ級15例，Ⅱ級21例，Ⅲ級10例，Ⅳ級4例，組間比較，差異具有統計學意義（P<0.05）。結論 復方聚乙二醇聯合二甲硅油用于腸道檢查前的腸道準備的效果較為顯著，可以有效降低腸道內的氣泡量存在程度，且視野的清晰度更高，操作時間也更短。

關鍵詞：復方聚乙二醇；二甲硅油；結腸鏡檢查

中圖分類號：R574.62 文獻標識碼：A DOI：10.3969/j.issn.1006-1959.2018.22.050

文章編號：1006-1959（2018）22-0166-03

Application Effect of Compound Polyethylene Glycol Combined with Dimeticonein Colonoscopy

SHENG Jun1，JIANG Li2，AN Ran2

（Department of Outpatient1，Gastroscopy Room2，Jiangxi Cancer Hospital，Nanchang 330029，Jiangxi，China）

Abstract：Objective To investigate the effect of compound polyethylene glycol combined with dimethicone in colonoscopy.Methods 100 patients who underwent painless colonoscopy in our hospital were randomly divided into control group and experimental group， with 50 cases in each group. In the control group， the compound polyethylene glycol electrolyte was orally administered. In the experimental group， the compound polyethylene glycol powder and dimethicone were orally administered after enteral preparation， and the degree of airway in the intestine， the total time of examination and the cleanliness of the intestine were compared between the two groups.Results The total operation time of the experimental group was （11.60±1.50） min， which was shorter than that of the control group （17.10±2.31） min，the difference was statistically significant （P<0.05）. In the experimental group， the degree of intestinal cleansing was grade I+II in 46 cases， and grade III+IV in 4 cases. In the control group， the intestinal cleanliness was grade I+II in 47 cases， grade III+IV in 3 cases， and comparison between groups，the difference was not statistically significant （P>0.05）. In the experimental group， the amount of air in the intestine was 49 in grade I and 1 in grade II. In the control group， there were 15 cases of grade I in the intestine， 21 cases of grade II， 10 cases of grade III， 4 cases of grade IV， and comparison between groups，the difference was statistically significant（P<0.05）. Conclusion The effect of compound polyethylene glycol combined with dimethicone on intestinal preparation before intestinal examination is significant， which can effectively reduce the degree of air bubbles in the intestinal tract， and the definition of visual field is higher and the operation time is shorter.

Key words：Compound polyethylene glycol；Dimethicone；Colonoscopy

結腸鏡檢查在臨床上是檢查腔腸疾病的有效方法，檢查結果的準確度與腸道準備的清潔程度密切相關[1]。腸道準備的清潔程度不高時，腸腔內的氣泡較多，會影響內鏡醫師的觀察，導致漏診以及誤診的幾率上升[2]。目前聚乙二醇電解質常作為腸鏡檢查前的準備用藥，其具有操作簡單、有效以及安全性高的優點，且患者較易接受，不良反應也較少，在臨床上使用聚乙二醇電解質時做腸道準備時，腸腔內會有大量氣泡的形成[3，4]。為此，本次研究探討復方聚乙二醇聯合二甲硅油在結腸鏡檢查中的應用效果，現報道如下。

1資料與方法

1.1一般資料 選取2016年2月～2017年5月江西省腫瘤醫院收治的行無痛腸鏡檢查患者100例，本研究經醫院倫理會批準。……