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结肠手术术前清洁方法的比较

Comparison of cleansing methods in preparation for colonic surgery.

作者信息

Beck D E, Harford F J, DiPalma J A

出版信息

Dis Colon Rectum. 1985 Jul;28(7):491-5. doi: 10.1007/BF02554091.

DOI:10.1007/BF02554091
PMID:4017808
Abstract

Golytely, an oral gut lavage solution, was compared with a standard bowel cleansing preparation in patients undergoing elective colonic surgery. Sixty patients were randomly assigned to either a one-day preparation with Golytely and bisacodyl or a standard method using a three-day clear liquid diet, cathartics, and enemas. Colon cleansing was better with Golytely (100 percent optimal cleansing vs. 64 percent, P less than 0.05). Patients receiving Golytely had less weight loss and found this preparation more tolerable. Quantitative stool cultures before and after preparation and intraoperatively were not significantly different between the two preparations. In this surgical bowel preparation study, Golytely and Bisacodyl were found to be safe, rapid, and effective. The preparation was well tolerated by patients and has become our preferred method of colonic cleansing.

摘要

聚乙二醇电解质散(Golytely),一种口服肠道灌洗溶液,在接受择期结肠手术的患者中与标准肠道清洁准备方法进行了比较。60名患者被随机分配到使用聚乙二醇电解质散和比沙可啶进行一日准备组,或采用三日清流饮食、泻药和灌肠的标准方法组。聚乙二醇电解质散的结肠清洁效果更好(最佳清洁率为100%,而标准方法组为64%,P<0.05)。接受聚乙二醇电解质散的患者体重减轻更少,且觉得这种准备方法更易耐受。两种准备方法在准备前、准备后及术中的定量粪便培养结果无显著差异。在这项手术肠道准备研究中,发现聚乙二醇电解质散和比沙可啶安全、快速且有效。该准备方法患者耐受性良好,已成为我们首选的结肠清洁方法。

相似文献

1
Comparison of cleansing methods in preparation for colonic surgery.结肠手术术前清洁方法的比较
Dis Colon Rectum. 1985 Jul;28(7):491-5. doi: 10.1007/BF02554091.
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Evaluation of rapid colon preparation with Golytely.使用聚乙二醇电解质散剂进行快速结肠准备的评估。
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引用本文的文献

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A new approach in bowel preparation before colonoscopy in patients with constipation: A prospective, randomized, investigator-blinded trial.便秘患者结肠镜检查前肠道准备的一种新方法:一项前瞻性、随机、研究者盲法试验。
Turk J Surg. 2017 Mar 1;33(1):29-32. doi: 10.5152/UCD.2015.3189. eCollection 2017.
2
Improving the view during flexible sigmoidoscopy: a systematic review of published randomized, controlled trials comparing the use of oral bowel preparation versus enema bowel preparation.改善乙状结肠镜检查时的视野:对已发表的比较口服肠道准备与灌肠肠道准备的随机对照试验的系统评价
Updates Surg. 2015 Sep;67(3):247-56. doi: 10.1007/s13304-015-0295-2. Epub 2015 Apr 18.
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Mechanism of action and toxicities of purgatives used for colonoscopy preparation.
泻药用于结肠镜检查准备的作用机制和毒性。
Expert Opin Drug Metab Toxicol. 2011 Jan;7(1):89-101. doi: 10.1517/17425255.2011.542411.
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How to choose the best preparation for colonoscopy.如何选择结肠镜检查的最佳准备方法。
Nat Rev Gastroenterol Hepatol. 2009 May;6(5):279-86. doi: 10.1038/nrgastro.2009.42.
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A consensus document on bowel preparation before colonoscopy: prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).一份关于结肠镜检查前肠道准备的共识文件:由美国结肠和直肠外科医师协会(ASCRS)、美国胃肠内镜学会(ASGE)以及美国胃肠和内镜外科医师协会(SAGES)的一个特别工作组编写。
Surg Endosc. 2006 Jul;20(7):1147-60. doi: 10.1007/s00464-006-0152-y. Epub 2006 Jun 8.
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Drug Saf. 2004;27(15):1235-42. doi: 10.2165/00002018-200427150-00006.
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