运动时间对结肠镜检查患者肠道清洁度的影响

目的探讨不同的运动时间对于提高药物清洁肠道作用的效果，从而优化肠道清洁方案，提高结肠镜检查准确性。方法收集2017年2月~2017年9月广东省人民医院消化一区需要进行结肠镜检查的住院患者作为观察对象，共入选60例患者，其中男性41例，女性19例，年龄25~83岁；将以上患者随机分为A、B、C组，每组20例，3组的性别构成及年龄差异均无统计学意义（P>0.05）。采用国际公认的波士顿Boston肠道准备量表评分，比较3组患者的肠道清洁度；并比较分析3组的泻药不良反应、对运动的耐受性。结果3组患者肠段清洁度差异有统计学意义（P<0.001）；对泻药的不良反应差异无统计学意义（P=0.067）；C组对运动的耐受性最差（P<0.05）。结论口服复方聚乙二醇后散步30~60 min是较为理想、有效的肠道准备方法，可满足结肠镜检查的需要。

Effect of exercise time on intestinal cleanliness of the patients undergoing colonoscopy

ObjectiveTo investigate the effect of different exercise time on improving the effect of drug cleaning on the intestinal tract, and to optimize the intestinal cleansing program and improving the accuracy of colonoscopy.MethodsSixty hospitalized patients were enrolled who needed to undergo colonoscopy from February 20 to 2017 in Guangdong Province in September 2017. There were 41 males and 19 females aged 25~83 years (P>0.05). The patients were randomly divided into 3 groups: group A, group B and group C (n=20). No significant difference were found between the two groups for gender composition and age (P>0.05). Boston Intestinal Preparation Scale were used to compare the intestinal cleanliness between 3 groups. The adverse effects of laxatives and the tolerance to exercise were compared.ResultsThe bowel cleanliness of patients in the three groups were significantly different (P<0.001). The differences of adverse effects on laxatives in 3 groups were not significant (P=0.067). C group had the worst tolerance to exercise (P<0.05).ConclusionWalking 30-60 min after oral administration of compound polyethylene glycol is an effective method for intestinal preparation. It is help for colonoscopy.