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Comparative Study on Colonic Cleansing Quality with Different Timing of Bowel Preparation
Author(s): 
Pages: 462-464
Year: Issue:  8
Journal: Chinese Journal of Gastroenterology

Keyword:  肠道准备结肠镜聚乙烯二醇类睡眠;
Abstract: 背景:结肠镜检查前肠道准备的质量尚有待提高.目的:比较不同时间作结肠镜检查前肠道准备的肠道清洁质量.方法:收集2008年6~10月至上海仁济医院接受静脉麻醉结肠镜检查的320例患者.应用聚乙二醇作为清肠剂.患者随机分为晚上服药组和早晨服药组.内镜医师根据标准的肠道准备质量评估标准判断肠道清洁程度,包括右侧、中间和左侧结肠的清洁程度(评分越高,质量越差).并记录结肠镜检查前晚患者的睡眠是否受影响.结果:共316例患者,包括160例晚上服药组和156例早晨服药组完成研究.晚上服药组患者肠道准备总体质量评分显著高于早晨服药组(5.2±1.2对4.5±0.9,P<0.05),且右侧结肠清洁度显著低于早晨服药组(P<0.001).晚上服药组因肠道准备而影响结肠镜检查前晚睡眠者占36.3%,显著高于早晨服药组(8.3%,P<0.001).结论:早晨作肠道准备者的肠道清洁质量,尤其是右侧结肠的清洁质量优于晚上作肠道准备者,且对结肠镜检查前晚睡眠的影响更小.
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