【作者】 沈俊； 汪柏林； 王成跃； 孙发； 吴志平； 顾昌世； 陈方敏； 李登宝； 杨建军； 贾本忠； 谷江； 石家齐；

【Author】 SHEN Jun,Wang Bailin,Wang Chengyue,Gu Changshi,Sun Fa,Gu Jiang,Shi Jiaqi Dept.of Surgery,The Affiliated Hospital of Guiyang Medical College;Guiyang 550004,China

【机构】 贵阳医学院附属医院泌尿外科；

【摘要】 目的:观察复方聚乙二醇电解质散用于KUB+IVP术前肠道准备的效果、安全性和实用性。方法:拟行KUB+IVP检查的160例患者随机分为A、B组,A组口服复方聚乙二醇电解质散,B组口服番泻叶后加服33%硫酸镁溶液。观察患者对肠道准备的耐受情况、服药后的排便情况及不良反应,比较两组肠腔清洁效果。结果:A组患者对肠道准备的耐受性好于B组(P<0.01);服药后至初次排便的平均时间A组为43.78min,明显短于B组的51.25min(P<0.01);服药后至检查前的平均排便次数A组为5.41次,也少于B组的7.28次(P<0.01);A组不良反应发生率明显低于B组(P<0.01)。两组清洁肠道的效果无显著性差异(P>0.05)。结论:口服聚乙二醇电解质散用于KUB+IVP术前肠道准备所需时间短,起效快,副作用小,效果满意。更多还原

【Abstract】 OBJECTIVE:To evaluate the efficacy and safety of polyethylene glycol-electrolyte powder for use in bowel preparation before KUB+IVP. METHODS:160 patients undergoing colonoscopy were randomized to receive either polyethylene glycol-electrolyte powder(Group A) or senna leaves and 33%magnesium sulfate(Group B) for the bowel preparation.The patient tolerance of the bowel preparation,the quality of defecation and the adverse reactions were assessed.The effect on the bowel cleanness was compared.RESULTS:The patient tolerance of the bowel preparation in Group A was better than Group B.The average time from taking medicine to the first defecation of Group A was 43.78min.It was shorter than that of Group B(51.25min).The average defecation number of Group A was 5.41.It was also less than that of Group B(7.28).The incidence rate of adverse reactions in Group A was obviously lower than Group B.The difference between them was all statistically significant(P<0.01),whereas the difference of the effect on the bowel cleanness between two groups was not statistically significant(P>0.05).CONCLUSION:Polyethylene glycol-electrolyte powder has satisfying effect in the bowel preparation before KUB+IVP.It has the benefits of less preparation time and less side effects.更多还原