二甲硅油片在结肠镜检查肠道准备中的应用

目的 观察嚼服二甲基硅油片在常规结肠镜检查肠道准备中的应用价值。方法 选择在我院行常规结肠镜检查患者181例，随机分为研究组84例和对照组97例。对照组口服单瓶磷酸钠盐口服溶液，研究组在口服单瓶磷酸钠盐口服溶液后嚼服二甲基硅油片。观察两组BBPS评分、肠道准备有效率、肠腔气泡评分、肠腔气泡满意率和全结肠息肉检出率。结果 两组各节段及全结肠BBPS评分、肠道准备有效率比较，差异无统计学意义（P＞0.05）。研究组右半结肠、横结肠和全结肠肠腔气泡评分分别为（0.48±0.67）分、（0.36±0.59）分和（0.95±1.35）分，低于对照组的（0.81±0.96）分、（0.61±0.81）分和（1.61±2.03）分，差异具有统计学意义（P＜0.05）。研究组右半结肠和全结肠肠腔气泡满意率分别为90.48%和84.52%，高于对照组的76.29%和71.13%，差异具有统计学意义（P＜0.05）。两组全结肠息肉检出率比较，差异无统计学意义（P＞0.05）。结论 嚼服二甲硅油片在结肠镜检查肠道准备中具有较好的祛泡效果，且不会影响肠道准备质量，但不能提高息肉检出率。

Application of Dimethicone Tablets in Bowel Preparation for Colonoscopy

Objective To observe the application value of chewing Dimethicone Tablets in routine colonoscopy for intestinal preparation. Methods A total of 181 patients who underwent routine colonoscopy in our hospital were randomly divided into study group (n=84) and control group (n=97). The control group received a single bottle of sodium phosphate sodium oral solution, and the study group chewed the Dimethicone Tablets after oral administration of a single bottle of sodium phosphate sodium oral solution. The BBPS scores, intestinal preparation efficiency, intestinal air bubble score, intestinal cavity bubble satisfaction rate and total colon polyp detection rate were observed.Results There were no significant differences in the BBPS scores and intestinal preparation efficiency between the two groups and the whole colon (P>0.05). The scores of the right colon, transverse colon and total colon in the study group were (0.48±0.67), (0.36±0.59) and (0.95±1.35), respectively, which was lower than that of the control group (0.81±0.96). (0.61±0.81) and (1.61±2.03),the difference was statistically significant (P<0.05). The satisfaction rate of intestinal cavity in the right colon and the whole colon of the study group was 90.48% and 84.52%, respectively, which was higher than that of the control group 76.29% and 71.13%,the difference was statistically significant (P<0.05). There was no significant difference in the detection rate of whole colon polyps between the two groups (P>0.05). Conclusion Chewing Dimethicone Tablets have a good blistering effect in colonoscopy, and will not affect the quality of intestinal preparation, but can not improve the detection rate of polyps.