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在一般人群中排便准备的质量
Melanija Ražov Radas1,2, Ivo Klarin1,2, Marija Ljubičić2
1Department of Gastroenterology, Internal Medicine Clinic, Zadar General Hospital, 23000 Zadar, Croatia.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
这项研究发现,年龄较大,冬季,以及某些肠道准备剂,如阴囊和bisacodyl,与更差的结肠镜准备质量有关. 然而,女性性别与更好的结果有关,突出了改善结直肠癌查的因素.
科学领域:
- 胃肠道学和瘤学
- 临床研究 临床研究
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症发病率和死亡率的主要原因.
- 适当的肠道准备对于有效的结肠镜检查和腺瘤检测至关重要,直接影响CRC风险.
- 影响肠道准备质量的因素需要确定以优化查效率.
研究的目的:
- 调查患者人口统计学,准备时间和清洁剂类型与肠道准备质量的联系.
- 为了确定肠道充分准备结肠镜检查的预测因素.
- 了解影响全结肠镜成功的因素.
主要方法:
- 在2019年6月至2022年4月期间进行的4609次结肠镜检查后期分析.
- 统计分析包括t测试,ANOVA,多变量线性和逻辑回归.
- 评估肠道准备的质量,抽出时间,和总结肠镜成功与各种因素的关系.
主要成果:
- 70.9%的患者实现了充分的肠道准备.
- 年龄较大,冬季和特定的药物 (阴囊,bisacodyl, senna) 与聚乙烯糖醇相比,与更差的制备质量有关.
- 女性性别与改善的准备质量相关;更长的戒断时间与充分的准备相反相关.
结论:
- 肠道准备质量受到年龄,性别,季节,药物,禁食时间和病变类型的影响.
- 某些肠道制备剂的效果不如聚乙烯糖醇.
- 个性化患者教育和干预措施可以提高肠道的准备,特别是在老年人.
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