摘要
目的探讨两种肠道准备方法在多层螺旋CT小肠造影中的对比效果.方法选取行多层螺旋CT小肠造影的患者152例,根据肠道准备方法分为两组,76例患者先行肥皂水清洁灌肠后口服泛影葡胺充盈肠道为对照组,76例患者口服甘露醇和泛影葡胺混合水溶液充盈肠道为观察组,比较两组患者的服药依从性、检查舒适度、肠道充盈效果、造影图像质量、不良反应情况.结果观察组患者的服药依从性、检查舒适度、肠道充盈效果的有效性均明显好于对照组,观察组患者造影图像质量的优良率明显高于对照组,观察组患者不良反应发生率明显低于对照组,差异均有统计学意义(P<0.05).结论甘露醇和泛影葡胺混合水溶液充盈肠道是多层螺旋CT小肠造影的有效肠道准备方法,可显著提高患者的服药依从性和检查舒适度,明显改善患者的肠道充盈效果和造影图像质量,引发的不良反应较少,具有较高的操作安全性,值得临床推广使用.
Objective To investigate the comparative effect of two intestinal preparation methods used in multi-slice spiral CT enterography. Method 152 patients who underwent multi-slice CT enterography were divided into two groups. 76 patients treated with oral urografin intestinal tract filling after the cleaning enema by soap solution were taken as control group. 76 patients treated with oral mixed mannitol and meglumine diatrizoate water solution intestinal tract filling gut were taken as observation group. The compliance, degree of comfort, intestinal tract filling effect, image quality and adverse reactions of patients in two groups were compared. Results The compliance, degree of comfort and effect of intestinal tract filling in the observation group were significantly better than those in the control group. The excellent and good rates of angiography image quality in the observation group were significantly higher than those in the control group. The incidence of adverse reactions in the observation group was significantly lower than that in the control group. All the differences were statistically significant（P〈0.05 ）. Conclusion The intestinal tract filling with mixed aqueous solution containing Mannitol and meglumine diatrizoate should be an effective method for intetinal preparation method in multi-slice spiral CT enterography, which can significantly improve the compliance, degree of comfort, intestinal tract filling effect and image quality. The method with a high safety can induced less adverse reactions and should be worthy of clinical use.
出处
《北华大学学报（自然科学版）》
CAS
2014年第3期362-365,共4页
Journal of Beihua University（Natural Science）
基金
河南省卫生厅科技攻关项目(201203063)
关键词
肠道准备
多层螺旋CT
小肠造影
bowel preparation
muhislice spiral CT
small intestine radiography
