补救性结肠水疗装置灌肠作为结肠镜检查肠道准备不充分的挽救策略：一项回顾性队列研究。
Remedial colon hydrotherapy device enema as a salvage strategy for inadequate bowel preparation for colonoscopy: A retrospective cohort study.
作者信息
Zhang Dongxuan, Zhao Chunxia, Tao Yuan, Zhang Jiao, Zhang Qisheng, Li Da, Ye Ping, Yu Xiaobo, Chen Chao
机构信息
Department of Gastroenterology, Beijing Changping Hospital of Traditional Chinese Medicine, Beijing, China.
Department of Neurology, Aerospace Center Hospital, Beijing, China.
出版信息
PLoS One. 2025 Mar 19;20(3):e0319493. doi: 10.1371/journal.pone.0319493. eCollection 2025.
OBJECTIVE
Colon hydrotherapy devices serve as a physiotherapeutic modality to manage colonic disorders by promoting intestinal peristalsis and enhancing gastrointestinal functionality. This study aims to assess and compare the effectiveness, safety, and tolerability of two remedial strategies for inadequate bowel preparation: colon hydrotherapy device enema and oral polyethylene glycol electrolyte powder.
METHODS
A retrospective analysis was performed on 109 patients who failed to adequately prepare for colonoscopy. These patients received remedial bowel preparation on the same day as their procedure, with 55 undergoing colon hydrotherapy enema and 54 receiving oral polyethylene glycol electrolyte powder. Patient satisfaction and tolerance were evaluated through telephone follow-up. Key metrics included the Boston Bowel Preparation Scale scores, preparation time, incidence of adverse reactions, and patient tolerance and satisfaction.
RESULTS
No significant differences were observed in baseline characteristics between groups (P > 0.05). The Boston Bowel Preparation Scale scores for the entire colon were 7 (3) in the hydrotherapy group and 6.5 (1) in the oral group (z = -2.075, P = 0.038). Notably, scores for the left colon were significantly higher in the hydrotherapy group [3 (1) vs. 2 (0), z = -5.586, P < 0.001]. The hydrotherapy group also exhibited a shorter preparation time [80 (20) min vs. 92.5 (20) min, z = -3.961, P < 0.001] and a lower incidence of adverse effects (36.4% vs. 88.9%, χ² = 32.035, P < 0.001). Patient satisfaction metrics, including re-selection rates and tolerance of side effects, were significantly higher in the hydrotherapy group.
CONCLUSIONS
The colon hydrotherapy device enema is an effective, efficient, and well-tolerated method for bowel cleansing, demonstrating a low incidence of adverse events. It is recommended as an effective and safe remedial therapy for patients with inadequate bowel preparation prior to colonoscopy.
目的
结肠水疗设备作为一种物理治疗方式，通过促进肠道蠕动和增强胃肠功能来管理结肠疾病。本研究旨在评估和比较两种针对肠道准备不充分的补救策略的有效性、安全性和耐受性：结肠水疗设备灌肠和口服聚乙二醇电解质散。
方法
对109例结肠镜检查肠道准备不充分的患者进行回顾性分析。这些患者在检查当天接受补救性肠道准备，其中55例接受结肠水疗灌肠，54例接受口服聚乙二醇电解质散。通过电话随访评估患者满意度和耐受性。关键指标包括波士顿肠道准备量表评分、准备时间、不良反应发生率以及患者耐受性和满意度。
结果
两组患者的基线特征无显著差异（P>0.05）。水疗组全结肠的波士顿肠道准备量表评分为7（3），口服组为6.5（1）（z=-2.075，P=0.038）。值得注意的是，水疗组左半结肠的评分显著更高[3（1）对2（0），z=-5.586，P<0.001]。水疗组的准备时间也更短[80（20）分钟对92.5（20）分钟，z=-3.961，P<0.001]，不良反应发生率更低（36.4%对88.9%，χ²=32.035，P<0.001）。水疗组的患者满意度指标，包括再次选择率和对副作用的耐受性，显著更高。
结论
结肠水疗设备灌肠是一种有效、高效且耐受性良好的肠道清洁方法，不良事件发生率较低。推荐作为结肠镜检查前肠道准备不充分患者的一种有效且安全的补救治疗方法。
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