重庆医学2016，Vol.45Issue(36)：5059-5062,4.DOI:10.3969/j.issn.1671-8348.2016.36.006
口服聚乙二醇溶液前或后吞服比沙可啶清洁肠道对CT结肠成像的影响研究
Effect on colorectal cleansing of CT colonography with gulping down bisacodyl before or after oral taking polyethylene glycol
摘要
Abstract
Objective To comparative study the effect on colorectal cleansing of CT colonography with gulping down 10 mg bisacodyl before or 1 h after oral taking 2 liter polyethylene glycol .Methods Forty participants with informed consent were appor‐tioned to group A ,group B randomly ,20 cases in each group .On the day before CT colonography ,participants in group A oral took 20 mL of 40% W/V barium sulfate prior to 3 mealtime ,and 20 mL of 60% diatrizoate meglumine diluted in 250 mL of water after supper ,then gulped down 10 mg bisacodyl enteric‐coated tablets 1 hour before oral taking 2 liter polyethylene glycol electrolyte so‐lution .Participants in group B were the same as that in group A ,with the exception of gulping down 10 mg bisacodyl enteric‐coated tablets 1 hour after oral taking 2 liter polyethylene glycol electrolyte solution .Cleansing efficacy of stool and fluid ,and attenuation value of remainder fluid between the two groups were analyzed statistically .Results In group A ,score of cleansing efficacy of stool (1 .96 ± 0 .11) was lower than that in group B (2 .01 ± 0 .12) ,segments with good cleansing efficacy of stool (87/120 segments , 72 .50% ) was higher than that in group B (83/120 segments ,69 .17% ) ,the difference was not statistically significant (P>0 .05) .In group A ,score of cleansing efficacy of fluid (1 .50 ± 0 .06) was lower than that in group B (1 .53 ± 0 .06) ,segments with good cleansing efficacy of fluid(113/120 segments ,94 .17% ) was higher than that in group B (111/120 segments ,92 .50% ) ,the differ‐ence was not statistically significant (P>0 .05) .Attenuation value of remainder fluid [(729 ± 29)HU ] in group A was higher than that in group B[(653 ± 25)HU] ,the difference was statistically significant(P<0 .05) .Conclusion Gulping down 10 mg Bisacodyl before or after oral taking 2 liter polyethylene glycol has no effect on cleansing of stool and fluid ,with good cleansing efficacy .The former has better cleansing efficacy of fluid ,is beneficial to detecting polyps for CT colonography .关键词
结直肠肿瘤/筛查/CT结肠成像/聚乙二醇/比沙可啶Key words
colorectal neoplasms/screening/CT colonography/polyethylene glycol/bisacodyl分类
医药卫生引用本文复制引用
陈志远,郭红梅,田序伟,罗明月,段侪杰,Wenli Cai,邱建平..口服聚乙二醇溶液前或后吞服比沙可啶清洁肠道对CT结肠成像的影响研究[J].重庆医学,2016,45(36):5059-5062,4.基金项目
国家自然科学基金资助项目（81230035）；广东省科技计划项目（2013B051000016）；新疆维吾尔自治区自然科学基金项目（2016D01C027）。 （）
