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低剂量聚乙二醇联合抗坏血酸方案对肠道黏膜损伤的影响

任争 杨德生 侯洪涛 孙金平 康玉华 丁春生

中国内镜杂志2017,Vol.23Issue(7):46-49,4.
中国内镜杂志2017,Vol.23Issue(7):46-49,4.DOI:10.3969/j.issn.1007-1989.2017.07.010

低剂量聚乙二醇联合抗坏血酸方案对肠道黏膜损伤的影响

Evaluating mucosal injuries of low-volume PEG plus ascorbic acid regimen in bowel preparation

任争 1杨德生 1侯洪涛 1孙金平 1康玉华 1丁春生1

作者信息

  • 1. 河南大学淮河医院 消化内科,河南 开封 475000
  • 折叠

摘要

Abstract

Objective To study the bowel-cleansing efficacy, patient security and mucosal injury of low-volume PEG plus ascorbic acid regimen. Methods Five hundred patients referred for colonoscopy were enrolled and randomly divided into two groups. Group A received low-volume PEG regimen, Group B received sodium phosphate (NaP) regimen for bowel preparation. Patients of the two groups drank solution 5 h before colonoscopies, serum creatinine and electrolyte were monitored at 5 h and 3 h before colonoscopies. The bowel-cleansing efficacy was rated during colonoscopy. All mucosal injuries observed during colonoscopy were biopsied and histopathologically reviewed. Results The patients of group A completed bowel preparation of 233 cases, completed colonoscopy 226 Cases, group B completed bowel preparation 238 cases, completed colonoscopy 210 cases. There was no significant difference in bowel cleansing between the groups (P > 0.05). Group A reported less incidence rate of the mucosal injuries than Group B. Group A reported better patient security than Group B at the same time. Conclusion Compared with sodium phosphate (NaP) regimen low-volume Polyethylene Glycol (PEG) plus ascorbic acid regimen exhibited equivalent bowel-cleansing efficacy and less incidence rate of the mucosal injuries and better patient security.

关键词

低剂量聚乙二醇联合抗坏血酸/磷酸钠盐/肠道准备/肠道黏膜损伤

Key words

polyethylene glycols/sodium phosphate/bowel preparation/mucosal injuries

分类

医药卫生

引用本文复制引用

任争,杨德生,侯洪涛,孙金平,康玉华,丁春生..低剂量聚乙二醇联合抗坏血酸方案对肠道黏膜损伤的影响[J].中国内镜杂志,2017,23(7):46-49,4.

中国内镜杂志

OACSTPCD

1007-1989

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