Department of Nursing, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
Department of Pediatrics, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
J Healthc Eng. 2022 Apr 16;2022:1898610. doi: 10.1155/2022/1898610. eCollection 2022.
To explore the effects of different intervention methods on intestinal cleanliness in children undergoing colonoscopy.
61 children who underwent colonoscopy in our hospital from May 2020 to May 2021 were randomly divided into group A ( = 21), group B ( = 30), and group C ( = 10). The children in the three groups were intervened in different ways before the colonoscopy. Group A received a long-handled Kaiselu +1 cathartic intervention, while group B received a long-handled Kaiselu +2 cathartic intervention, and group C received an enema plus one cathartic intervention. The patients in the three groups were given the same diet before the examination until the examination was completed. The time-related indexes, cleanliness, adverse reactions, tolerance, and adaptability of the three groups under different dietary interventions and cleaning methods were evaluated.
The first defecation time in group C was lower than that in group A and group B, the hospital stay was longer than that in group A and group B ( > 0.05), and the colonoscopy time in group C was shorter than that in group A and group B ( < 0.05). The BBPS score of group C was (2.10 ± 0.32), which was significantly higher than that of group A (1.16 ± 0.19) and group B (1.77 ± 0.18) ( < 0.05). The BBPS scores of children with liquid food in the three groups were significantly higher than those of common food, and the BBPS scores of liquid food and common food in group C were significantly higher than those in group A and group B ( < 0.05). The incidence of adverse reactions in group C was 20.00%, which was significantly lower than 33.33% in group A and 23.33% in group B ( < 0.05). The proportion of grade I in group C was 50.00%, which was significantly higher than 38.10% in group A and 43.33% in group B ( < 0.05).
Children undergoing colonoscopy take preintestinal preparation under different diets and intervention methods. The cleanliness of liquid food and enema + one-time laxative one day before colonoscopy is the best, which can significantly reduce adverse reactions and increase the acceptability and adaptability of children. It is worthy of clinical application.
探讨不同干预方法对结肠镜检查患儿肠道清洁度的影响。
选取我院 2020 年 5 月至 2021 年 5 月行结肠镜检查的 61 例患儿，随机分为 A 组（n=21）、B 组（n=30）和 C 组（n=10）。三组患儿在结肠镜检查前分别采用不同的干预方式，A 组采用长柄凯塞露+1 剂泻药干预，B 组采用长柄凯塞露+2 剂泻药干预，C 组采用灌肠+1 剂泻药干预。三组患儿检查前均给予相同饮食，直至检查结束。评价三组不同饮食干预及清洁方法下的时间相关指标、清洁度、不良反应、耐受性及适应性。
C 组患儿首次排便时间短于 A 组和 B 组，住院时间长于 A 组和 B 组（>0.05），结肠镜检查时间短于 A 组和 B 组（<0.05）。C 组患儿 BBPS 评分（2.10±0.32）高于 A 组（1.16±0.19）和 B 组（1.77±0.18）（<0.05）。三组患儿流质饮食 BBPS 评分均显著高于普通饮食，且 C 组患儿流质饮食和普通饮食 BBPS 评分均显著高于 A 组和 B 组（<0.05）。C 组不良反应发生率为 20.00%，低于 A 组的 33.33%和 B 组的 23.33%（<0.05）。C 组Ⅰ级比例为 50.00%，高于 A 组的 38.10%和 B 组的 43.33%（<0.05）。
结肠镜检查患儿采用不同饮食和干预方法进行肠道准备，结肠镜检查前 1 日采用流质饮食和灌肠+1 次泻药的清洁度最佳，可显著减少不良反应，提高患儿的接受度和适应性，值得临床应用。
