Sinha Shandip Kumar, Kanojia Ravi P, Rawat J D, Wakhlu Asish, Kureel S N, Tandon R K, Verma Akhilesh
Department of Pediatric Surgery, King George Medical University, Lucknow, 226 003, India.
Pediatr Surg Int. 2007 Jun;23(6):581-4. doi: 10.1007/s00383-007-1919-5. Epub 2007 Mar 30.
Total gut irrigation (TGI) is a safe method of bowel preparation in children. Many solutions are used but none is ideal. This study has been done to compare household common salt solution prepared by dissolving 10 g of pure NaCl salt (Active Reagent Quality) in 1 l of tap water, polyethylene glycol with electrolytes (PEG) and ringers lactate for TGI in children. We prospectively evaluated the three solutions in terms of efficacy, safety, rapidity, tolerability and cost effectiveness in patients undergoing a variety of colorectal procedures. Patients (126) were randomly assigned into one of the three groups; Group I, household common salt solution, 40; Group II, Peglec, 55; Group III, Ringer lactate, 31. TGI with PEG is the most rapid method of bowel preparation but is least tolerable. Household common salt solution is inexpensive and most tolerable of the three preparations. All three are similar in safety and effectiveness in bowel preparation. Household common salt solution is effective, safe, cost effective and the most tolerable method of bowel preparation.
全肠道灌洗（TGI）是一种用于儿童肠道准备的安全方法。目前使用了多种溶液，但均不理想。本研究旨在比较将10克纯氯化钠盐（活性试剂级）溶解于1升自来水中配制的家用普通盐溶液、聚乙二醇电解质溶液（PEG）和乳酸林格氏液用于儿童TGI的效果。我们前瞻性地评估了这三种溶液在接受各种结直肠手术患者中的疗效、安全性、速度、耐受性和成本效益。126例患者被随机分为三组之一；第一组，家用普通盐溶液，40例；第二组，Peglec，55例；第三组，乳酸林格氏液，31例。使用PEG进行TGI是肠道准备最快速的方法，但耐受性最差。家用普通盐溶液价格低廉，是三种制剂中耐受性最好的。在肠道准备的安全性和有效性方面，三者相似。家用普通盐溶液是一种有效、安全、具有成本效益且耐受性最佳的肠道准备方法。
