Analysis of the efficacy of bowel preparation in Crohn′s disease patients undergoing CT enterography imaging combined with colonoscopy using a modified protocal
10.3760/cma.j.cn1014180-20230510-00079
- VernacularTitle:改良方案在行CT肠道成像联合结肠镜检查的克罗恩病患者中的肠道准备效果分析
- Author:
Jingjing WANG
1
;
Shunjie TIAN
1
;
Gairong MA
1
;
Xinxian ZHAO
1
Author Information
1. 上海交通大学医学院附属仁济医院护理部 200127
- Publication Type:Journal Article
- Keywords:
Crohn′s disease;
Computer tomography enterograph;
Colonoscopy;
Bowel preparation
- From:
Chinese Journal of Inflammatory Bowel Diseases
2024;08(2):156-160
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of modified bowel examination schedule and corresponding bowel preparation protocol on bowel preparation quality and satisfaction of patients with Crohn′s disease (CD) undergoing CT enterography (CTE) and colonoscopy during follow up.Methods:A total of 207 patients with CD in our hospital from December 2021 to October 2022 were prospectively included in the study, among whom 94 patients from West Hospital and South Hospital were used as control group, with routine examination arrangement and intestinal preparation protocol; 113 patients from East Hospital were used as observation group with modified examination arrangement and intestinal preparation protocol, meaning that these two examinations were adjusted to the same day and were combined with oral laxative bowel preparation. The differences between the two groups in the quality of bowel preparation, satisfaction and adverse effects of oral laxatives were analyzed.Results:Observation group was higher qualified rate of intestinal preparation (88.50% vs. 86.17%), and lower the adverse reaction rate of intestinal preparation (6.19% vs. 7.45%) as compared to, and both the differences were not statistically significant (both P>0.05). The total score of patient satisfaction (very satisfactory and satisfactory) in the observation group was significantly higher than that in the control group (92.04% vs. 53.20%), and the difference was statistically significant ( P<0.05) . Conclusion:Modified examination arrangement and intestinal preparation protocol are suitable for patients with CTE and colonoscopy during follow-up, which do not affect the quality of intestinal preparation and do not increase the incidence of adverse reactions, while can improve patient satisfaction. This protocal is worthy of clinical promotion and implementation.
