摘要
目的探讨Bristol粪便性状评估表在肠镜检查患者中的应用效果。方法选取2020年6月至12月烟台市烟台山医院收治的肠镜检查患者240例为研究对象,采用随机数字表法将其分为对照组和观察组,每组120例。对照组男79例,女41例,年龄(61.53±10.28)岁;观察组男78例,女42例,年龄(61.05±10.27)岁。对照组给予常规肠道准备,观察组给予Bristol粪便性状评估后的肠道准备。观察比较两组干预后波士顿肠道准备质量评分量表(BBPS)评分、肠道准备合格率、肠道息肉检出率及肠镜检查结果。结果干预后,观察组患者Ⅰ型[(6.42±1.14)分比(5.92±1.33)分]和Ⅱ型[(7.06±1.12)分比(6.44±1.13)分]肠道准备质量评分均高于对照组,两组比较差异均有统计学意义(均P<0.05);两组患者Ⅲ~Ⅶ型肠道准备质量评分比较差异无统计学意义(P>0.05);观察组肠道准备合格率[97.50%(117/120)比80.83%(97/120)]、肠道息肉检出率[52.50%(63/120)比35.00%(42/120)]及盲肠插管率[94.17%(113/120)比84.17%(101/120)]均显著优于对照组(均P<0.05);观察组进镜时间和退镜时间均显著短于对照组,完成肠镜检查率显著多于对照组(均P<0.05)。结论Bristol粪便性状评估表作为肠道准备质量的评估工具,能够简单迅速地筛选出具有肠道准备不足的待检患者,通过针对性肠道准备方案指导,能够显著提高待检患者的肠道准备合格率和肠镜检查结果。
Objective To explore the effect applying Bristol Fecal Trait Assessment Table in patients taking enteroscopy.Methods From June to December,2020,240 patients taking enteroscopy at Yantaishan Hospital were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 120 cases in each group.The control group had 79 males and 41 females,and were(61.53±10.28)years old.The observation group had 78 males and 42 females,and were(61.05±10.27)years old.The control group was given routine intestinal preparation,and the observation group was given intestinal preparation after Bristol Fecal Trait Assessment Table evaluation.The scores of Boston Bowel Preparation Scale(BBPS),the qualified rates of intestinal preparation,and the detection rates of intestinal polyps,and the results of enteroscopy were observed and compared between the two groups after the intervention.Results After the intervention,the scores of intestinal preparation quality of typeⅠandⅡin the observation group were significantly higher than those in the control group[(6.42±1.14)vs.(5.92±1.33)and(7.06±1.12)vs.(6.44±1.13);both P<0.05].There were no statistical differences in the scores of intestinal preparation quality of typeⅢ,Ⅳ,Ⅴ,Ⅵ,andⅧbetween these two groups(all P>0.05).The qualified rate of intestinal preparation,polyp detection rate,and cecal intubation rate in the observation groupwere significantly better than those in the control group[97.50%(117/120)vs.80.83%(97/120),52.50%(63/120)vs.35.00%(42/120),and 94.17%(113/120)vs.84.17%(101/120);all P<0.05].The times putting the enteroscope in and getting it out and the enteroscopy completion rate in the observation group were better than those in the control group(all P<0.05).Conclusions Bristol Fecal Trait Assessment Table,as an evaluation tool for intestinal preparation quality,can quickly screen out patients with insufficient intestinal preparation,and guide them through targeted intestinal preparation program.It can signi
作者
初海英
Chu Haiying(Minimally Invasive Operation Room,Yantaishan Hospital,Yantai 264001,China)
出处
《国际医药卫生导报》
2021年第19期3105-3108,共4页
International Medicine and Health Guidance News
