Gagovic Veronika, Rex Douglas K
Department of Medicine, Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, IN, USA.
J Clin Gastroenterol. 2008 Nov-Dec;42(10):1070-3. doi: 10.1097/MCG.0b013e3180f62b25.
Oral sodium phosphate solution (OSPS) has been associated with acute renal failure when used as a bowel preparation for colonoscopy.
To determine whether gastroenterologists in Indiana follow recent recommendations for safe and effective use of colonoscopy.
A survey of gastroenterologists in Indiana performed in mid-2006. Written instruction to patients were obtained and reviewed.
We received responses from 97.5% of Indiana gastroenterologists, of whom 80% reported using OSPS. All using OSPS forwarded their written instructions. None exceeded the recommended two 45 mL doses in their written instructions. Although separation of the two 45 mL doses by at least 6 to 12 hours is recommended, 35% of physicians prescribed the 2 doses at intervals less than 6 hours. Only 9.7% gave specific instructions for volumes of fluid to be taken before the first dose. Fluid prescriptions during the preparation were often suboptimal according to current recommendations. Less than 25% of physicians followed the recommendation to use carbohydrate-electrolyte solutions for hydration.
Gastroenterologists in Indiana in mid-2006 uniformly followed recommendations for maximum doses of OSPS, but recommended intervals for the doses and gave hydration instructions that often did not follow current recommendations.
口服磷酸钠溶液（OSPS）在用作结肠镜检查的肠道准备时与急性肾衰竭有关。
确定印第安纳州的胃肠病学家是否遵循近期关于安全有效使用结肠镜检查的建议。
2006年年中对印第安纳州的胃肠病学家进行了一项调查。获取并审查了给患者的书面说明。
我们收到了97.5%的印第安纳州胃肠病学家的回复，其中80%报告使用了OSPS。所有使用OSPS的医生都转发了他们的书面说明。在他们的书面说明中，没有人超过推荐的两剂45毫升的剂量。尽管建议两剂45毫升的剂量间隔至少6至12小时，但35%的医生开出的两剂间隔时间少于6小时。只有9.7%的医生给出了第一剂之前要摄入的液体量的具体说明。根据当前建议，准备期间的液体处方往往不理想。不到25%的医生遵循使用碳水化合物 - 电解质溶液进行水化的建议。
2006年年中印第安纳州的胃肠病学家一致遵循了OSPS最大剂量的建议，但剂量间隔建议以及水化说明往往未遵循当前建议。
