ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-047 检验与方法 2026, 2(07): 185-188

体位联动式大肠水疗在习惯性便秘患者肠镜前肠道准备中的应用价值

梅州市人民医院(梅州市医学科学院)消化内镜中心

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摘要

目的 探讨体位联动式大肠水疗对习惯性便秘患者肠镜前肠道准备质量的影响。方法 选取2025年2月至2026年6月本院消化内镜中心习惯性便秘患者92例,随机分为体位联动组(实验组)(n=46)与左侧卧位组(对照组)(n=46)。比较两组波士顿肠道准备量表(BBPS)评分、水疗时间、入液量、不良反应、便秘严重程度评分量表(CCS便秘)评分、满意度及依从性。样本量采用G*Power估算,计划120例,本研究为阶段性分析(76.7%)。结果 实验组BBPS总分(6.37±1.77)分高于对照组(5.43±2.19)分(P=0.027),RC段评分(1.96±0.67)分高于对照组(1.65±0.79)分(P=0.049),LC段评分(2.11±0.74)分高于对照组(1.76±0.82)分(P=0.035)。TC段评分实验组(2.30±0.73)分高于对照组(2.02±0.88)分,差异无统计学意义(P=0.097);两组水疗操作时间、累计入液量、不良反应发生率、满意度及依从性方面的差异均无统计学意义(P>0.05)。结论体位联动式大肠水疗可显著改善便秘患者肠镜前肠道准备质量,BBPS总分及RC、LC结肠段清洁度提升明显,安全性及患者接受度良好,值得临床推广。

Abstract

Objective To investigate the effect of position-linked colonic hydrotherapy on bowel preparation quality in patients with habitual constipation. Methods Ninety-two patients from February 2025 to June 2026 were randomly assigned to position-linked group(experimental group)(n=46) or left lateral position group(control group)(n=46). Boston Bowel Preparation Scale(BBPS) score, hydrotherapy duration, fluid volume, adverse reactions, Cleveland Clinic Constipation(CCS) score, satisfaction, and compliance were compared. Planned sample size was 120. This is an interim analysis(76.7%). Results BBPS total score was significantly higher in experimental group(6.37±1.77) than the control group(5.43±2.19)(P=0.027). RC segment score was higher(1.96±0.67 vs. 1.65±0.79, P=0.049). LC segment score was higher(2.11±0.74 vs. 1.76±0.82, P=0.035). TC segment score showed a numerical trend(2.30±0.73 vs. 2.02±0.88) without reaching statistical significance(P=0.097). There were no statistically significant differences between the two groups regarding treatment duration, total fluid volume administered, incidence of adverse reactions, satisfaction, and compliance(P>0.05). Conclusion Position-linked colonic hydrotherapy significantly improves bowel preparation quality with notable increase in BBPS score and RC/LC colonic segment cleanliness. It is worthy of clinical promotion.

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[1]温世珍.体位联动式大肠水疗在习惯性便秘患者肠镜前肠道准备中的应用价值[J].疾病预防与控制,2026,2(07):185-188.