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目的:前瞻性分析复方聚乙二醇电解质散、清肠饮与蓖麻油3种清肠剂在静脉尿路造影前的应用效果。方法:对1200例行静脉尿路造影检查的患者随机分为3组,服不同的清肠剂,。A组425例检查前4h口服复方聚乙二醇电解质散137.15g加2000ml温水;B组370例检查前1d晚口服清肠饮50g加2000mL温水;C组405例检查前1d晚口服蓖麻油20g,服药后的排便次数及不良反应发生情况,并通过X片质量评价清肠效果,然后进行统计学分析。结果:A组425例中摄片质量好340例,一般72例,差13例;B组370例中摄片质量好189例,一般148例,差33例;C组405例中摄片质量好235例,一般109例,差61例,3组摄片质量差异有统计学意义(P<0.05),A组发生不良反应10例,B组38例,C组45例,3组间不良发生率差异有统计学意义(P<0.05),3组排便次数差异有统计学意义。结论:复方聚乙二醇电解质散用于静脉尿路造影前肠道准备时间短,安全性好,不良反应小,排便次数适中,患者依从性好,摄片效果好,是一种理想的新一代清肠剂,值得临床应用和推广。
OBJECTIVE: To prospectively analyze the application effect of compound polyethylene glycol electrolyte powder, Qingchangyin and castor oil three kinds of bowel preparation before intravenous urography. Methods: One hundred and twenty-two patients undergoing intravenous urography were randomly divided into 3 groups, taking different bowel preparations. A group of 425 patients before the test 4h oral compound polyethylene glycol electrolyte dispersion of 137.15g plus 2000ml warm water; Group B 370d inspection 1d evening before bowel drink bowel drink 50g plus 2000mL warm water; Group C 405dc inspection 1d before the evening castor oil 20g , The frequency of defecation and the incidence of adverse reactions after taking medicine, and the bowel effect was evaluated by the quality of X-ray film, and then statistical analysis was made. Results: A group of 425 cases in the good quality of the film 340 cases, 72 cases in general, the poor in 13 cases; B group 370 cases in 189 cases of good quality film, generally 148 cases, poor in 33 cases; C group 405 cases in the film quality There were statistically significant differences between the three groups (P <0.05). There were 10 adverse reactions in group A, 38 in group B and 45 in group C, with poor results among the three groups The difference was statistically significant (P <0.05). There was significant difference in the number of defecation among the three groups. Conclusions: The compound polyethylene glycol electrolyte powder is an ideal new product for the short time of intestinal preparation before intravenous urography. It has good safety, less adverse reactions, moderate defecation frequency, good patient compliance and good radiographic effect Cleansing agents generation, it is worth clinical application and promotion.