一升聚乙烯甘醇加上阿斯科布酸用于老年人肠道制备的有效性和安全性:与口服硫酸盐溶液的比较
Ki Young Lim1, Kyeong Ok Kim1, Eun Young Kim2
1Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
The Korean journal of internal medicine
|July 24, 2023
概括
一种新的1L聚乙烯甘醇 (PEG) 加上酸 (Asc) 制剂与老年人结肠镜的口服硫酸溶液 (OSS) 一样有效和安全,成功率高,没有显著的不良影响.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 老年病的医生 老年病的医生
背景情况:
- 关于1升聚乙烯糖醇 (PEG) 加上酸 (Asc) 在老年人中有效性和安全性的数据有限.
- 这种药物最近已在韩国引入,用于结肠镜检查的准备.
研究的目的:
- 评估1升PEG/Asc在65岁及以上患者的安全性和有效性.
- 为了在老年人群中比较1L的PEG/Asc与口服硫酸盐溶液 (OSS) 用于结肠镜准备.
主要方法:
- 这是一项前性,多中心的随机化研究,涉及104名年龄≥65岁的参与者.
- 参与者接受了1L的PEG/Asc或OSS.
- 主要终点:成功的肠道准备 (波士顿肠道准备量 ≥ 6). 二级终点:患者满意度,不良事件和功能变化.
主要成果:
- 在1L PEG/Asc和OSS组中,成功的肠道准备率达到96.2%.
- 患者对味道,体积和重复意愿的满意度在各组之间相似.
- 在中度或重度不良事件或功能/电解质变化方面没有发现显著差异.
结论:
- 1 L PEG/Asc 是OSS的安全有效替代品,用于老年人结肠镜检查的准备.
- 该疗法表现出高成功率 (>90%) 和良好的安全性,包括对功能没有显著影响.
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