Department of Gastroenterology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.
Sci Rep. 2023 Jul 18;13(1):11553. doi: 10.1038/s41598-023-37435-z.
Colonoscopy is a standard procedure for screening, monitoring, and treating colorectal lesions. To explore the impact of WeChat guidance on bowel preparation before colonoscopy. This quasi-experiment study included patients who underwent colonoscopy at Qingdao Endoscopy Center between March 2016 and September 2016. The primary outcome was bowel preparation quality (Ottawa score), the secondary outcomes were intubation time, withdrawal time, adenoma detection rate (ADR), and adverse reactions. Finally, 588 patients were included and divided into the WeChat guide (n = 295) and the non-WeChat guide (n = 293) groups, they were comparable in baseline characteristics. The Ottawa score (1.59 ± 1.07 vs. 6.62 ± 3.07, P < 0.001), intubation time (6.47 ± 1.81 vs. 11.61 ± 3.34, P < 0.001), withdrawal time (13.15 ± 3.93 vs. 14.99 ± 6.77, P < 0.001), and occurrence rate of adverse reactions (2.0% vs. 5.5%, P = 0.029) were significantly lower in the WeChat guide group than those in the non-WeChat guide group. ADR was significantly higher in the WeChat guide than that in the non-WeChat guide group (1.47 ± 2.30 vs. 0.84 ± 1.66, P < 0.001). WeChat guidance might improve the quality of bowel preparation and adenoma detection rate, shorten the time of colonoscopy, and reduce adverse reactions in bowel preparation.
结肠镜检查是筛查、监测和治疗结直肠病变的标准程序。探讨微信指导对结肠镜检查前肠道准备的影响。这项准实验研究纳入了 2016 年 3 月至 2016 年 9 月在青岛内镜中心行结肠镜检查的患者。主要结局是肠道准备质量(渥太华评分),次要结局是插管时间、退镜时间、腺瘤检出率(ADR)和不良反应。最终纳入 588 例患者,分为微信指导组(n=295)和非微信指导组(n=293),两组基线特征具有可比性。微信指导组的渥太华评分(1.59±1.07 分比 6.62±3.07 分,P<0.001)、插管时间(6.47±1.81 分比 11.61±3.34 分,P<0.001)、退镜时间(13.15±3.93 分比 14.99±6.77 分,P<0.001)和不良反应发生率(2.0%比 5.5%,P=0.029)均显著低于非微信指导组。微信指导组的 ADR 显著高于非微信指导组(1.47±2.30 比 0.84±1.66,P<0.001)。微信指导可能提高肠道准备质量和腺瘤检出率,缩短结肠镜检查时间,减少肠道准备不良反应。
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