- Hospital Regional da Asa Norte, Unidade de Cirurgia Geral - Brasília - DF - Brasil.
Rev Col Bras Cir. 2022 May 11;49:e20222476. doi: 10.1590/0100-6991e-20222476-en. eCollection 2022.
This prospective, randomized and double-blind study aims to compare two different protocols used for bowel preparation in patients scheduled for colonoscopy. The protocols were composed by solutions of Mannitol or sodium picosulfate combined with magnesium oxide. Patients from the proctology outpatient clinic of the General Surgery Unit of the Regional Hospital of Asa Norte (HRAN) comprised the sample of this study. Both the patients and the colonoscopist had no prior knowledge of the substance used to prepare bowel, which was randomly distributed among the participants. Both protocols demonstrated good and similar results regarding the efficiency of colon preparation, although the review of literature shows a difference in favor of preparation made with Mannitol solution regarding the colon neatness during the exam. In line with the literature, patients who used Mannitol solution had more side effects, highlighting the significant difference found for vomiting and sleep impairment. The preparation with Sodium Picosulfate with Magnesium Oxide was significantly superior in relation to the ease of ingestion perceived by the patients.
本前瞻性、随机和双盲研究旨在比较两种用于结肠镜检查患者肠道准备的不同方案。方案由甘露醇或聚乙二醇联合氧化镁溶液组成。该研究的样本来自阿萨诺特区北部地区医院(HRAN)普通外科病房的直肠科门诊患者。患者和结肠镜检查医师都不知道用于肠道准备的物质,该物质在参与者中随机分配。两种方案在肠道准备的效率方面均表现出良好且相似的结果,尽管文献综述显示,在检查期间,使用甘露醇溶液进行准备的肠道清洁度存在差异。与文献一致的是,使用甘露醇溶液的患者出现更多副作用,呕吐和睡眠障碍的显著差异尤为明显。与患者感知的摄入难易程度相比,聚乙二醇联合氧化镁溶液的准备方案具有明显优势。