ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-05-064 检验与方法 2025, (05)

肠道清洁图指导个体化肠道准备在结肠镜检查中的效果

联勤保障部队第九六〇医院

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摘要

摘要:目的 探讨基于肠道清洁图指导的个体化肠道准备方案应用于无痛结肠镜检查患者的效果。方法 根据 随机数字表法将 2024 年 3 月至 2024 年 6 月的 162 例无痛结肠镜检查患者作为研究对象,将 2024 年 3 月至 2024 年 4 月的 79 例患者作为常规组(给予 3L 聚乙二醇电解质散方案清肠),2024 年 5 月至 2024 年 6 月的 83 例患者 作为研究组(采用基于肠道清洁图指导的个体化肠道准备方案),比较两组的服药 / 饮食依从性、口服液体量、 肠道准备质量、粪水吸引量、检查时长、不良反应及护理满意度。结果 研究组的服药 / 饮食依从性高于常规 组(P<0.05);研究组的口服液体量少于常规组(P<0.05);两组的波士顿肠道准备量表(BBPS)评分比较无明显差异(P>0.05);研究组的粪水吸引量低于常规组(P<0.05);研究组的检查时长低于常规组(P<0.05); 研究组的不良反应发生率低于对照组(P<0.05);研究组的护理满意度高于常规组(P<0.05)。结论 基于肠道 清洁图的个体化肠道准备方案在维持与传统方法相当的肠道清洁质量基础上,能够提高患者依从性、减少口服液 体量、优化操作效率、降低不良反应、并提升患者满意度,可作为无痛结肠镜检查前肠道准备的一种优化策略。

Abstract

Abstract: Objective To explore the effect of individualized intestinal preparation regimens guided by intestinal cleansing maps in patients undergoing painless colonoscopy. Methods According to the random number table method, 162 patients who underwent painless colonoscopy from March 2024 to June 2024 were selected as the research subjects, and 79 patients from March 2024 to April 2024 were selected as the conventional group (given a 3L polyethylene glycol electrolyte powder regimen for intestinal cleansing). From May 2024 to June 2024, 83 patients were selected as the study group (using individualized intestinal preparation regimens guided by intestinal cleansing maps), and the medication/diet compliance, oral liquid volume, intestinal preparation quality, fecal water aspiration volume, examination duration, adverse reactions and nursing satisfaction of the two groups were compared. Results The medication/diet compliance of the study group was higher than that of the conventional group (P<0.05). The volume of oral liquid in the study group was less than that in the conventional group (P<0.05). There was no significant difference in the Boston Bowel Preparation Scale (BBPS) scores between the two groups (P>0.05). The fecal water aspiration volume of the study group was lower than that of the conventional group (P<0.05). The examination duration of the research group was shorter than that of the conventional group (P<0.05). The incidence of adverse reactions in the study group was lower than that in the control group (P<0.05). The nursing satisfaction of the research group was higher than that of the conventional group (P<0.05). Conclusion The individualized intestinal preparation plan based on the intestinal cleansing map can improve patient compliance, reduce the volume of oral liquid, optimize operational efficiency, reduce adverse reactions, and enhance patient satisfaction on the basis of maintaining comparable intestinal cleansing quality to traditional methods. It can be used as an optimized strategy for intestinal preparation before painless colonoscopy.

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[1]刘晓霞,王春英,徐健,等.肠道清洁图指导个体化肠道准备在结肠镜检查中的效果[J],2025,01(05):.