摘要
目的评价老年患者肠镜前增加12.5%碳水化合物清流质饮食后的效果和安全性。方法2018年1月~2018年8月在笔者医院自愿行无痛结肠镜检查的131例60~80岁的老年患者作为研究对象,其中78例为清流质干预组,对其血压、心率和血糖、不良反应、患者满意度等进行比较分析。结果清流质干预组的术前和术后血糖均高于观察组(P<0.05),两组的平均动脉压比较,差异无统计学意义,干预组的术前和术中心率均低于观察组(P<0.05),对糖尿病患者进行亚组分析,干预组术前半小时和术后半小时血糖均高于观察组(P<0.05),也高于检查前一日血糖,但差异无统计学意义(P>0.05),干预组患者满意度评分显著优于观察组(P<0.05)。结论12.5%碳水化合物清流质饮食在老年患者无痛肠镜检查术前准备中具有良好的应用价值,且安全性高。
Objective To evaluate the efficacy and safety of 12.5%carbohydrate clear liquid diet before colonoscopy in elderly patients.Methods From January 2018 to August 2018,131 elderly patients aged 60 to 80years who underwent painless colonoscopy in our hospital were selected as the study subjects.78 of them were in the clear liquid intervention group,and their blood pressure,heart rate,blood sugar,adverse reactions and patient satisfaction were compared and analysis.Results The blood sugar of the intervention group before and after operation was higher than that of the observation group(P<0.05).There was no significant difference in the mean arterial pressure between the two groups.The preoperative and intraoperative heart rates of the intervention group were lower than those of the observation group(P<0.05).Subgroup analysis of diabete patients showed that the preoperativeandpostoperative blood sugarof the intervention group was higher than that of the observation group(P<0.05).The satisfaction score of the intervention group was significantly better than that of the observation group(P<0.05).Conclusion 12.5%carbohydrate clear liquid diethas good application value and high safety in the preparation of painless colonoscopy in elderly patients.
作者
冯玉良
郑培奋
周锋
杜丽云
Feng Yuliang;Zheng Peifen;Zhou Feng(Zhejiang Hospital,Zhejiang 310013,China)
出处
《医学研究杂志》
2019年第9期131-134,共4页
Journal of Medical Research
基金
浙江省医药卫生科技计划项目(面上项目)(2019KY253)
