摘要
Abstract
Objective To compare the effect of different bowel preparation methods in non-anesthetic enteroscope on the hygienic level of the bowel,the degree of gas,the pain degree,the polyp detection rate and small polyp detection rate.Methods Totally 2 400 patients with non-narcotic colonoscope were selected and randomly divided into 6 groups according to the different treatment.Patients were treated with polyethylene glycol electrolyte powder in group A,polyethylene glycol electrolyte powder and espumisan in group B,polyethylene glycol electrolyte powder and pinaverium bromide in group C,polyethylene glycol electrolyte powder,espumisan and pinaverium bromide in group D,polyethylene glycol electrolyte powder and espumisan,scopolamine in group E,polyethylene glycol electrolyte powder,espumisan and pinaverium bromide,scopolamine in group F.The Boston bowel preparation scale(BBPS) was used to evaluate the hygienic level of the bowel,the degree of bubbles was assessed,and the degree of pain and the rate of polyp and small polyp were recorded by expert colonoscopists.Results There was no significant difference in colon cleaning of bowel preparation among different groups (P ＞ 0.05).The bubble volume (especially in the right-side colon) of patients with espumisan treatment was less than that of patients with polyethylene glycol electrolyte powder treatment alone (P ＜ 0.05).The detection rates of the polyp and small polyp in groups B,D,E,F were significantly higher than those in the other two groups(P ＜ 0.05).The degree of pain in patients treated with pinaverium bromide or scopolamine was less than that in patients treated with polyethylene glycol electrolyte powder alone(P ＜ 0.05).The abdominal pain was relieved after the pinaverium bromide or scopolamine treatment,and the degree of abdominal pain after combined treatment was less than that of scopolamine by intramuscular injection alone(P ＜ 0.05).Conclusion The bowel can be effectively cleaned with polyethylene glycol electrolyte powder,and the gas volume can be effectively reduced by espumisan.The abdominal pain degree of patients with oral pinaverium bromide or intramuscular injection scopolamine can be reduced,and the combination of two drugs show the better effects for relieving pain.关键词
肠道准备/聚乙二醇电解质散/西甲硅油/匹维溴胺/东莨菪碱/腹痛Key words
bowel preparation/polyethylene glycol electrolyte powderp/espumisan/pinaverium bromide/scopolamine/abdominal pain分类
医药卫生
