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目的 探讨两种不同肠道准备方法在老年患者结肠镜检查中的应用效果.方法 将2015年7月—2016年7月期间接受结肠镜检查的84例老年患者随机分为两组,每组42例.多次准备组于肠镜检查前1 d晚上予1 L复方聚乙二醇电解质溶液,检查当天早晨予2 L复方聚乙二醇电解质溶液,单次准备组于检查当天早晨予3 L复方聚乙二醇电解质溶液.应用波士顿肠道准备量表(BBPS)比较两组患者的肠道准备质量,同时比较患者的不良反应发生率以及依从性和耐受性.结果 多次准备组BBPS总分为(7.49±1.33)分,单次准备组BBPS总分为(5.29±1.45)分,差异有统计学意义(t=2.78,P<0.05),且两组BBPS分段评分差异均有统计学意义(P<0.05).两组患者的不良反应发生率以及依从性和耐受性差异均无统计学意义(P>0.05).结论 在结肠镜检查前多次服用复方聚乙二醇电解质溶液并配合护理干预是理想的适合老年患者的结肠镜肠道准备方案.

Objective To investigate the clinical effects of different bowel preparation methods before colonoscopy in elderly patients.Methods A total of 84 elderly patients undergoing colonoscopy during July 2015 and July 2016 were divided into two groups(n=42 for each group). Repeat group was treated with 1 L Polyethylene Glycol(PEG)orally for bowel preparation at night before the colonoscopy and 2 L PEG on the day of colonoscopy respectively. Single group was treated with 3 L PEG for bowel preparation on the day of colonoscopy. In the two groups, bowel preparation efficacy, patient's compliance, tolerability and adverse reactions were evaluated.Results According to the Boston bowel preparation scale(BBPS), the score of total colon cleaning effect was(7.49±1.33) in repeat group and (5.29±1.45) in single group with a significant difference(t=2.78, P<0.05), and side colon cleaning effect were also statistically significant (P<0.05). Bowel preparation efficacy, patient's compliance, tolerability and adverse reactions in two groups were not statistically significant (P>0.05).Conclusions It is the proper method for elderly patients who are treated with PEG orally and repeatedly before colonoscopy.