Tooson J D, Gates L K
Division of Digestive Diseases and Nutrition, University of Kentucky College of Medicine, Lexington, USA.
Postgrad Med. 1996 Aug;100(2):203-4, 207-12, 214. doi: 10.3810/pgm.1996.08.59.
A review of the relevant English-language literature on bowel cleansing before colonoscopy yielded results of randomized trials comparing a variety of regimens, including polyethylene glycol (PEG)-electrolyte lavage, 3-day clear liquid diet with laxatives or prokinetics, and oral sodium phosphate, as well as these regimens combined with agents such as metoclopramide, cisapride, and senna. Balancing the importance of such factors as cleansing effectiveness, safety, ease of completion, side effects, patient tolerance, and cost, the authors recommend four methods: (1) PEG-electrolyte solution (eg, CoLyte, GoLYTELY, NuLytely) in combination with senna (eg, X-Prep), (2) PEG-electrolyte solution alone (either single dose or split dose), (3) oral sodium phosphate (Fleets Phosphosoda) given in split dose, and (4) oral magnesium citrate in combination with rectal pulsed irrigation.
一项针对结肠镜检查前肠道清洁的相关英文文献综述得出了比较多种方案的随机试验结果，这些方案包括聚乙二醇（PEG）电解质灌洗、含泻药或促动力药的3天清流食、口服磷酸钠，以及这些方案与甲氧氯普胺、西沙必利和番泻叶等药物联合使用的情况。在权衡清洁效果、安全性、完成的难易程度、副作用、患者耐受性和成本等因素的重要性后，作者推荐了四种方法：（1）PEG电解质溶液（如CoLyte、GoLYTELY、NuLytely）联合番泻叶（如X-Prep），（2）单独使用PEG电解质溶液（单剂量或分剂量），（3）分剂量给予口服磷酸钠（Fleets Phosphosoda），（4）口服枸橼酸镁联合直肠脉冲冲洗。
