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肠道准备方案对结肠镜检查质量的影响因素 被引量:2

Influencing factors of different bowel preparation regimens on the quality of colonoscopy
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摘要 目的探讨结肠镜检查术前肠道准备方案对肠道清洁度和息肉检出率影响的相关因素。方法选取上海复旦大学附属华山医院内镜中心2018年3月至8月拟行结肠镜检查患者,收集患者一般资料和肠道准备方法。观察患者自身因素和不同肠道准备方案的肠道准备质量和息肉检出率,采用波士顿肠道准备量表(BBPS)对肠道准备质量进行评分。采用t检验、方差分析或卡方检验进行统计学分析。结果1 008例结肠镜检查患者中,男506例,女502例,年龄为(57.3±13.7)岁。不同BMI、有无帕金森病和有无腹部手术史患者的BBPS评分差异均有统计学意义(F=3.319,t=-2.060、-2.544;P均<0.05)。检查3 d前持续低渣饮食准备者BBPS评分高于未准备者[(6.04±2.50)分比(5.54±2.73)分],差异有统计学意义(t=2.514,P=0.010)。2 000 mL单次服用聚乙二醇电解质溶液(PEG)与2 000 mL分次服用PEG、3 000 mL单次服用PEG、3 000mL分次服用PEG的BBPS评分分别为(5.06±2.88)、(6.11±2.44)、(5.94±2.32)、(6.10±2.47)分,差异有统计学意义(F=7.242,P<0.01)。不同年龄、性别、BMI,以及有无便秘、高血压和糖尿病史患者的息肉检出率比较差异均有统计学意义(χ^2=33.170、8.489、12.024、4.034、26.790、10.381,P均<0.05)。辅以口服西甲硅油患者的息肉检出率高于未口服西甲硅油患者[52.6%(30/57)比29.7%(221/744)],差异有统计学意义(χ^2=12.934,P<0.01)。年龄(OR值为1.328,95%CI为1.162~1.517)和BMI(OR值为1.412,95%CI为1.115~1.787)均是息肉检出率的独立危险因素。结论BMI、帕金森病和腹部手术史是影响结肠镜术前肠道准备质量的相关因素。年龄和BMI是息肉检出率的独立危险因素。 Objective To explore the influencing factors of different bowel preparation before colonoscopy on the intestinal cleanliness and polyp detection rate. Methods From March to August in 2018, at the Center of Endoscopy of Huashan Hospital Affiliated to Fudan University, the patients who underwent colonoscopy were selected and their general data of bowel preparation regimens were collected. Self-factors of the patients, different bowel preparation regimens, bowel preparation quality and polyp detection rate were observed. The quality of bowel preparation was evaluated by Boston bowel preparation scale (BBPS). T test, and analysis of variance and chi-square test were used for statistical analysis. Results Among 1 008 patients who underwent colonoscopy, there were 506 males and 502 females, and average age was (57.3±13.7) years. There were statistically significant differences in BBPS score of patients with different body mass index (BMI), Parkinson disease and history of abdominal surgery (F=3.319, t=-2.060 and -2.544;all P<0.05). The BBPS score of patients with three-day low residue diet before examination was higher than that of those without preparation before examination (6.04±2.50 vs. 5.54±2.73), and the difference was statistically significant (t=2.514, P=0.010). The BBPS scores of 2 000 mL polyethylene glycol electrolyte lavage solution (PEG) taken once, 2 000 mL PEG taken separately, 3 000 mL PEG taken once and 3 000 mL PEG taken separately were 5.06±2.88, 6.11±2.44, 5.94±2.32 and 6.10±2.47, respectively, and the difference was statistically significant (F=7.242, P<0.01). There were significant differences in polyp detection rates among the patients with different age, gender, BMI, and with history of constipation, hypertension and diabetes mellitus (χ^2=33.170, 8.489, 12.024, 4.034, 26.790, 10.381;all P<0.05). The polyp detection rate of patients with oral methyl silicone oil was higher than that of patients without oral methyl silicone oil (52.6%, 30/57 vs. 29.7%, 221/744), and the difference was sta
作者 江晓红 丁伟群 罗忠光 黄欣华 钟良 Jiang Xiaohong;Ding Weiqun;Luo Zhongguang;Huang Xinhua;Zhong Liang(Center of Endoscopy, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China)
出处 《中华消化杂志》 CAS CSCD 北大核心 2019年第6期384-389,共6页 Chinese Journal of Digestion
基金 上海市科学技术委员会科研计划项目(18DZ1930202).
关键词 结肠镜 聚乙烯二醇类 肠道准备 西甲硅油 Colonoscopes Polyethylene glycols Bowel preparation Simethicone
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