| 摘要: |
| 目的:比较不同剂量聚乙二醇(PEG)电解质散溶液及标准化肠道准备管理方案对儿童结肠镜检查的肠道清洁效果。方
法:选取我院儿科2024 年1 月至2025 年7 月收治的行无痛结肠镜检查患儿135 例,按随机数表法分为对照组68 例(肠道准备
采用高剂量PEG 电解质散溶液)和观察组67 例(肠道准备采用低剂量PEG 电解质散溶液)。统计分析两组Boston 肠道准备量
表(BBPS)评分、PEG 电解质散完成率、腹痛视觉模拟评分(VAS)及不良反应发生率。结果:观察组BBPS 评分高于对照组(t =
0. 982,P =0. 328)。观察组PEG 电解质散完成率高于对照组,腹痛VAS 评分低于对照组,差异均有统计意义(均P<0. 05)。观
察组恶心、呕吐、腹胀、腹痛发生率均低于对照组(均P<0. 05)。结论:低剂量与高剂量PEG 电解质散溶液对儿童结肠镜检查的
肠道清洁效果基本相当,但低剂量肠道准备儿童的耐受力更高,不良反应发生率更低,标准化肠道准备管理方案有利于提高肠
道准备质量。 |
| 关键词: 结肠镜检查 肠道准备 标准化肠道准备管理方案 聚乙二醇 肠道清洁度 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2026.08.006 |
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| 基金项目:基金项目:河北省2026 年度医学科学研究计划项目,编号冀卫办科教[2025]5 号。 |
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| Randomized Controlled Study on Bowel Cleansing Efficacy and Tolerance of Different Doses of PolyethyleneGlycol Electrolyte Powder During Pediatric Colonoscopy Under Standardized Management Protocols forBowel Preparation |
| Ji Yingna, Gao Jing |
| (Tangshan Maternal and Child Health Hospital, Hebei Tangshan 063000, China) |
| Abstract: |
| Objective: To compare the bowel cleansing efficacy of different doses of polyethylene glycol (PEG) electrolyte powder
solution and standardized bowel preparation protocols for pediatric colonoscopy. Methods: A total of 135 children who underwent
painless colonoscopy in our hospital from Jan. 2024 to Jul. 2025 were extracted to be divided into the control group (68 cases, with
high-dose PEG electrolyte powder solution for bowel preparation) and observation group (67 cases, with low-dose PEG electrolyte
powder solution for bowel preparation) via the random number table method. The Boston Bowel Preparation Scale (BBPS) score,
completion rate of PEG electrolyte powder solution, Visual Analog Scale (VAS) score of abdominal pain, and incidence of adverse drug
reactions were compared between two groups. Results: The BBPS score of observation group was higher than that of control group (t =
0. 982, P =0. 328). The completion rate of PEG electrolyte powder in observation group was higher than that in control group, and the
VAS score of abdominal pain was lower than that in control group, the differences were statistically significant (P < 0. 05). The
incidences of nausea, vomiting, abdominal distension and abdominal pain in observation group were lower than those in control group (P
<0. 05). Conclusion: High-dose and low-dose PEG electrolyte solution achieve comparable bowel cleansing efficacy for colonoscopy in
children. However, children with low-dose bowel preparation have higher compliance and lower incidence of adverse drug reactions.
Standardized bowel preparation management is conducive to improving the efficacy of bowel preparation. |
| Key words: colonoscopy bowel preparation standardized management protocols for bowel preparation polyethylene glycol bowel
cleanliness |
