内镜下结肠息肉切除术前不同时间 进行肠道准备的效果比较

Comparison of the Effect of Intestinal Preparation at Different Time before Endoscopic Colon Polypectomy

摘要:

〔摘 要〕 目的：分析结肠息肉开展内镜下切除手术前，在不同时间进行肠道准备的效果差异。 方法：选择联勤保 障部队第 900 医院莆田医疗区 2020 年 3 月至 2021 年 3 月期间收治的 72 例结肠息肉患者，随机分为对照组和观察组， 各36例。对照组患者在手术前1 d进行肠道准备，观察组患者在手术当天进行肠道准备。对两组患者的肠道清洁优良率、 不良反应总发生率、舒适度得分、睡眠质量得分以及满意度进行比较。 结果：两组患者肠道清洁优良率比较，差异无 统计学意义（P ＞ 0.05）；观察组患者不良反应总发生率低于对照组，差异具有统计学意义（P ＜ 0.05）；观察组患 者舒适度、睡眠质量评分均低于对照组，差异具有统计学意义（P ＜ 0.05）；观察组患者总满意度高于对照组，差异 具有统计学意义（P ＜ 0.05）。 结论：结肠息肉开展内镜下切除手术前，在手术当日进行肠道准备能够获得与手术前 1 d 肠道准备接近的肠道清洁效果，同时还可减少不良反应发生，提升患者肠道准备期间舒适度和睡眠质量，提高其 满意度。

Abstract:

〔Abstract〕 Objective The effect of intestinal preparation at different time before endoscopic resection of colon polyps was analyzed. Methods A total of 72 patients with colon polyps admitted to Putian Medical District of the 900th Hospital of the PLA Joint Logistic Support Force from March 2020 to March 2021 were selected and randomly divided into a control group and an observation group, with 36 cases in each group. The control group underwent intestinal preparation 1 day before surgery, and the observation group underwent intestinal preparation on the day of surgery. The excellence rate of intestinal cleaning, the total incidence of adverse reactions, comfort scores, sleep quality scores and satisfaction were compared between the two groups. Results There was no significant difference in the excellence rate of intestinal cleaning between the two groups (P > 0.05). The total incidence of adverse reactions in the observation group was lower than that of the control group, and the difference was statistically significant (P < 0.05).The comfort and sleep quality scores of the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05). The total satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Before endoscopic resection of colon polyps, intestinal preparation on the day of surgery can achieve intestinal cleaning effect similar to that of intestinal preparation 1 day before surgery, reduce incidence of adverse reactions, improve patients' comfort and sleep quality during intestinal preparation, and improve their satisfaction.