蓖麻油与磷酸钠制剂用于钡灌肠的前瞻性随机对照研究。
Prospective, randomized comparison of castor oil and sodium phosphate preparation for barium enema.
作者信息
Apisarnthanarak Piyaporn, Rotjanaaree Benjaporn, Komoltri Chulalak, Charoensak Aphinya, Apisarnthanarak Anucha, Hargrove Narumol Srisuthapan
机构信息
Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
出版信息
J Med Assoc Thai. 2009 Feb;92(2):243-9.
OBJECTIVE
To compare castor oil and sodium phosphate preparation (Swiff) in patients' satisfaction, efficacy for colon cleanness, side effects, and prices.
MATERIAL AND METHOD
One hundred patients referred for barium enema were randomized to receive castor oil (n = 50) and sodium phosphate preparation (n = 50). They graded their satisfaction using a 5-point scale (easy, acceptable, slightly difficult, extremely difficult, and unacceptable). The efficacy for colon cleanness was graded by two radiologists using a 5-point scale (excellent, easy for evaluation, acceptable, difficult for evaluation, and unacceptable). Side effects were evaluated by patients' vital signs, total number of bowel frequency, and 10 associated symptoms.
RESULTS
Both preparations revealed no difference in patients' satisfaction (p = 0.882) and efficacy of colon cleanness (p = 0.130). Sodium phosphate preparation was more expensive (79 vs. 10 Baht) and caused higher number of bowel frequency (p < 0.001).
CONCLUSION
With a cheaper price, castor oil was comparable with sodium phosphate preparation in patients' satisfaction and efficacy of colon cleanness.
目的
比较蓖麻油和磷酸钠制剂（Swiff）在患者满意度、结肠清洁效果、副作用及价格方面的差异。
材料与方法
将100例因钡灌肠就诊的患者随机分为两组，分别接受蓖麻油治疗（n = 50）和磷酸钠制剂治疗（n = 50）。患者使用5分制（容易、可接受、稍有困难、极其困难和不可接受）对满意度进行评分。两名放射科医生使用5分制（优秀、易于评估、可接受、难以评估和不可接受）对结肠清洁效果进行评分。通过患者的生命体征、排便总次数及10种相关症状评估副作用。
结果
两种制剂在患者满意度（p = 0.882）和结肠清洁效果（p = 0.130）方面均无差异。磷酸钠制剂价格更高（79泰铢对10泰铢），且导致排便次数更多（p < 0.001）。
结论
蓖麻油价格更低，在患者满意度和结肠清洁效果方面与磷酸钠制剂相当。
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