结肠镜检查前一天的牛奶消费对肠道准备质量的影响:一项随机对照试验
Chang-Jiang Wang1,2, Jing-Yu Chen1,2, Qi Zhang2,3
1North Sichuan Medical College, Nanchong, China.
Digestive diseases and sciences
|February 12, 2026
概括
在准备结肠镜检查时,将牛奶纳入低残留物饮食中,与标准饮食一样有效. 这种方法可以提高患者的舒适度和满意度,而不会影响肠道准备的质量或多检测率.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 医疗程序 医疗程序
背景情况:
- 准备结肠镜检查的传统饮食建议往往限制了牛奶摄入量,这是基于对其对肠道准备质量影响的未经证实的假设.
- 这项研究挑战了传统的牛奶限制,调查其对结肠镜检查结果的实际影响.
研究的目的:
- 为了评估含牛奶的低残留饮食 (牛奶组) 与标准的低残留饮食 (LRD组) 在结肠镜检查前进行肠道准备的非劣质性.
- 评估牛奶消费对结肠镜质量指标,患者耐受性和不良事件的影响.
主要方法:
- 一项前性随机对照试验,涉及486名接受结肠镜检查的参与者.
- 患者被随机分配到包括牛奶在内的低残留饮食或标准的低残留饮食中.
- 用波士顿肠道准备量表 (BBPS) 评估了肠道准备的充分性.
主要成果:
- 包括牛奶在内的饮食与标准的低残留饮食相比,对肠道准备的充分性没有劣势.
- 牛奶组的肠道准备质量略高 (mITT的P=0.049,PPS的P=0.030).
- 牛奶组的患者报告了更低的恶心发病率和更高的满意度得分.
结论:
- 包括牛奶在内的低残留饮食是结肠镜准备的安全有效替代方案,证明其不低于标准LRD.
- 这种饮食方法提高了患者的舒适性和耐受性,而不会对检查质量或结肠镜关键指标产生负面影响.
- 这些发现支持修订目前的指导方针,允许牛奶消费作为前结肠镜检查饮食的一部分.
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