Effect observation of taking polyethylene glycol-electrolyte solution at different time on bowel preparation in elderly for colonscopy
10.3760/j.issn.1674-2907.2015.05.023
- VernacularTitle:老年患者不同时间服用复方聚乙二醇电解质散肠道准备的效果
- Author:
Yun? DONG
1
;
Guangyan GUO
;
Hai LIN
Author Information
1. 276400 山东省临沂市沂水中心医院消化内科
- Keywords:
Elderly;
Bowel preparation;
Polyethylene glycol-electrolyte solution
- From:
Chinese Journal of Modern Nursing
2015;21(5):558-561
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy and side effects of split-dose Polyethylene glycol-electrolyte solution ( PEG ) with full-dose preparation in the elderly for colonoscopy, and to summary the experience of nursing care. Methods A total of 220 elderly undergoing colonoscopy were randomly divided into experimental group ( group A) and control group ( group B) , 110 cases in each group. Group A took half the dose of PEG (1. 5 L) at 5 PM on the day before colonoscopy and the remaining half (1. 5 L) were instructed to drink at 6 AM on the day of colonoscopy. Group B took all the PEG (3 L) at 6 AM on the day of colonoscopy. The quality of bowel cleansing was assessed according to the Boston bowel preparation scale ( BBPS) , and side effects ( nausea, vomiting, abdominal pain, fatigue and hunger ) and complication were also observed. In addition, the polyps and tumors of colon detection were compared within the two groups. Results The level of bowel preparation in group A was superior to group B [(6. 65 ± 1. 67) vs (6. 14 ± 1. 91, t =2. 097, P <0. 05)], however, the incidence of side effects such as nausea and vomiting, abdominal pain and bloating in group A were 14 cases, 34 cases and 22 cases less than those of group B (χ2 =4. 400,4. 111,4. 002,respectively;P<0. 05). The detection rate of colonic polyps and tumors in group A (37. 3%) were also higher than that of group B (24. 5%) (χ2 =4. 172, P<0. 05). Conclusions The use of a split-dose PEG for bowel preparation before colonoscopy significantly improved bowel preparation. Split-dose preparation is associated with a lower incidence of side effects, and higher detection rate of colonic polyps and tumors in the elderly.
