个体化肠道准备方案在静脉麻醉下老年患者肠镜检查中的应用

 目的 探讨个体化肠道准备方案在老年患者肠镜检查中的应用。方法 选取2021-03至2022-03在解放军总医院第二医学中心消化内镜中心丙泊酚镇静麻醉下、接受无痛肠镜检查的老年患者98例,随机分为对照组与观察组,每组49例。对照组采用常规肠道准备,观察组采用个体化的肠道准备方案下的肠镜检查前肠道准备。对比两组肠道准备清洁度及患者对此肠道准备方案的满意度。结果 观察组波士顿肠道准备量表得分为(7.83±0.35)分,高于对照组的(6.91±0.73)分,差异有统计学意义(P＜0.05);两组患者满意度比较,观察组满意率98.00%高于对照组的79.60%,差异有统计学意义(P＜0.05)。结论 应用个体化肠道准备方案,波士顿评分高,清洁度好,患者满意度更高,值得推广。

Application of individualized intestinal preparation in colonoscopy of elderly patients under intravenous anesthesia

Objective To investigate the cleanliness of intestinal preparation and patient satisfaction during colonoscopy in elderly patients with personalized intestinal preparation.Methods A total of 98 elderly patients receiving painless colonoscopy under propofol sedation and anesthesia in the Digestive Endoscopy Center of the Second Medical Center of Chinese PLA General Hospital from March 2021 to March 2022 were randomly divided into control group and observation group, with 49 cases in each group. The control group received routine bowel preparation, and the observation group received individualized bowel preparation before colonoscopy. The cleanliness of intestinal preparation and patients’ satisfaction with the intestinal preparation were compared between the two groups.Results Individualized intestinal preparation program was implemented before colonoscopy in the elderly under intravenous anesthesia. The score of Boston Intestinal preparation Scale was (7.83±0.35) in the observation group and 6.91±0.73 in the control group. There was statistical difference in the overall mean score of Boston Intestinal preparation Scale between the two groups (P<0.05). The comparison of intestinal preparation satisfaction between the two groups showed that the satisfaction rate of the observation group was higher than that of the control group (98.00% vs 79.60%), and there was statistically significant difference(P<0.05).Conclusions The implementation of individualized intestinal preparation program greatly improves the satisfaction of patients with intestinal preparation, and the Boston score is significantly higher than that of the control group, and this program can improve the accessibility, continuity and standardization of care.