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目的观察聚乙二醇电解质散联合二甲硅油在胶囊内镜检查前肠道准备中的应用效果。方法随机选取在我科进行胶囊内镜检查的患者180例,分为观察组和对照组,各90例。对照组患者在进行肠道清洁时使用聚乙二醇电解质散,观察组在对照组基础上给予二甲硅油,比较两组患者肠道清洁效果。结果所有患者均顺利完成检查,观察组患者肠道清洁有效率为95.56%,与对照组的93.33%比较,差异无统计学意义(P>0.05)。观察组患者的肠道泡沫清除有效率是93.33%,明显高于对照组的76.67%(P<0.05)。观察组患者的有效耐受度为92.22%,明显高于对照组的80.00%(P<0.05)。结论进行胶囊内镜检查肠道准备时,采用聚乙二醇电解质散联合二甲硅油能够有效祛除肠道气泡,提高镜片质量,具有一定的临床价值。
Objective To observe the effect of polyethylene glycol electrolyte dispersion combined with simethicone in intestinal preparation before capsule endoscopy. Methods A total of 180 patients with capsule endoscopy in our department were selected randomly and divided into observation group and control group with 90 cases each. Patients in the control group were treated with polyethylene glycol electrolyte dispersions during bowel cleansing. Silicone oil was administered to the observation group on the basis of the control group, and the intestinal cleansing effect was compared between the two groups. Results All patients successfully completed the examination. The effective rate of intestinal cleaning in the observation group was 95.56%, which was not significantly different from that in the control group (93.33%) (P> 0.05). The effective rate of intestinal foam clearance in the observation group was 93.33%, which was significantly higher than that in the control group (76.67%, P <0.05). The effective tolerance of the observation group was 92.22%, which was significantly higher than that of the control group (80.00%, P <0.05). Conclusions When conducting capsule endoscopy for intestine preparation, polyethylene glycol electrolyte powder combined with simethicone can effectively eliminate intestinal bubbles and improve the quality of the lens, which has certain clinical value.