A modified bowel preparation protocol improves the quality of bowel cleansing for colonoscopy
A modified bowel preparation protocol improves the quality of bowel cleansing for colonoscopy
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DOI：
10.1016/j.aidm.2015.12.001
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发表时间：
2016-09-01
影响因子：
0.3
通讯作者：
Chung, Chen-Shuan
中科院分区：
文献类型：
--
作者：
Hsu, Wei-Fan;Liang, Cheng-Chao;Chung, Chen-Shuan
充分的结肠清洁对于高质量的结肠镜检查是必不可少的。很少有研究调查病人教育和肠道准备质量之间的关系。对照组包括165名参与者，他们在2013年9月至10月期间接受了标准肠道准备方案后的结肠镜检查，而研究组包括251名患者，他们在2014年1月至2月期间接受了改进的肠道准备方案后的结肠镜检查。修改后的肠道准备方案包括教学视频和传单、营养师设计的两天低纤维饮食、后续电话消息和确认大便特征的信息。用Aronchick肠道准备评分来定义肠道准备的质量。进行手术的内窥镜医生对准备方案视而不见。研究组中肠道准备质量优良的参与者比例显著高于对照组(35.9%vs.21.8%，p=0.002)。此外，控制组参与者肠道准备不足的比例显著高于研究组(3%对0.8%，p=0.042)。此外，研究组的腺瘤发现率显著高于对照组(35.1%vs.24.8%，p=0.028)。结果表明，通过为患者提供改进的肠道准备方案，可以提高肠道清洁的质量。版权所有(C)2016，台湾胃肠病学会、台湾消化内窥镜学会、台湾肝脏研究协会。爱思唯尔台湾有限责任公司出版。
Adequate colonic cleansing is essential for a high quality colonoscopy. Few studies have investigated the association between patient education and quality of bowel preparation. The control group comprised 165 participants who underwent colonoscopy after a standard bowel preparation protocol during the period September-October 2013 and the study group comprised 251 individuals who underwent colonoscopy after a modified bowel preparation protocol during the period January-February 2014. The modified bowel preparation protocol included an instructional video and leaflet, a dietician-designed 2-day low fiber diet, a follow-up phone message, and information to confirm stool characteristics. The Aronchick Bowel Preparation Scale was used to define the quality of bowel preparation. The endoscopists who performed the procedures were blinded to the preparation protocols. The percentage of participants with excellent bowel preparation quality was significantly higher in the study group than in the control group (35.9% vs. 21.8%, p = 0.002). Also, the percentage of participants with poorly prepared bowels was significantly higher in the control group than in the study group (3% vs. 0.8%, p = 0.042). Moreover, the adenoma detection rate was significantly higher in the study group (35.1% vs. 24.8%, p = 0.028). The results show that the quality of bowel cleansing can be improved by providing patients with a modified bowel preparation protocol. Copyright (C) 2016, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver. Published by Elsevier Taiwan LLC.