结肠镜检查期间简单干预前后的水消耗:一项前性观察研究
Atsushi Imagawa1, Hideki Kobara2, Shintaro Fujihara2
1Department of Gastroenterology, Imagawa Medical Clinic, Mitoyo, Japan.
Endoscopy
|August 21, 2025
概括
在结肠镜检查期间鼓励小便器冲洗,可显著降低每名患者用水量约3. 5升. 这种简单的干预措施促进了更环保的内镜实践,
科学领域:
- 胃肠病学
- 医疗保健中的环境可持续性
- 公共卫生干预措施
背景情况:
- 结肠镜需要大量的肠道准备, 通常需要大量的水.
- 日本的所通常采用双排水选项 (大/小).
- 在肠道准备过程中消耗的水是内镜的一个研究不足的方面.
研究的目的:
- 评估在排便准备过程中促进小所冲洗是否可以减少总体的水消耗.
- 评估信息干预在结肠镜准备期间对水的使用的影响.
- 为了确定节水措施是否会影响肠道清洗效率或患者的液体摄入量.
主要方法:
- 一个单中心的前性观察研究,涉及220名接受结肠镜检查的患者.
- 两个组进行了比较:一个接受标准指令的对照组 (非故意的水[NW]) 和一个接受信息图宣传小冲动的干预组 (绿色水[GW]).
- 在10个月内收集了水的使用,液体摄入量和肠道清洗质量的数据.
主要成果:
- 绿水 (GW) 组的平均总用水量 (31.5 L) 与非故意用水 (NW) 组的平均用水量 (35. 0 L) 相比显著降低 (p < 0.005).
- 这意味着每次结肠镜检查大约减少3. 5升的水.
- 在两组患者的体液摄入量或肠道清洗质量方面没有发现统计学意义上的差异.
结论:
- 使用海报鼓励适当的冲洗是一种简单有效的方法来减少肠道准备过程中的水消耗.
- 这一战略通过尽量减少对环境的影响,为"绿色内镜"倡议做出贡献.
- 这些研究结果表明,在医疗环境中促进清醒的用水是可行的,也是有益的.
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