常规治疗方案与分剂治疗方案在肠道准备:随机对照试验的结果
Soumaya Nsibi1, Abdelwahab Nakhli1, Cyrine Ben Mehrez1
1University of Tunis El Manar, Faculty of Medicine of Tunis, 1068, Mongi Slim Hospital, Department of Hepato-Gastroenterology, 2046, Tunis, Tunisia.
La Tunisie medicale
|February 19, 2026
概括
分剂肠道制备 (SD) 与传统方案 (CR) 相比,显著提高了结肠镜质量. 不同于CR,SD更好地耐受,并且与可修改的因素相关,因为准备不好,不像CR.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 临床试验 临床试验
背景情况:
- 有效的肠道准备对于成功的结肠镜检查至关重要.
- 欧洲指南建议分剂 (SD) 疗法,但在突尼斯等一些地区,传统疗法 (CR) 仍然很常见.
研究的目的:
- 为了比较SD和CR方案之间的肠道清洁质量.
- 在两组中确定导致肠道准备不良的因素.
主要方法:
- 在四个月内进行了一项随机对照试验.
- 133名患者被随机分配到SD或CR组,比例为1:1.
主要成果:
- 与CR组相比,SD组表现出优异的肠道清洁 (平均波士顿得分6.05比4.75,p<0.001).
- 两组之间的耐受性是相似的.
- 预测SD组准备不足的预测因素包括便秘和公共交通. 在CR组中,低教育水平是关键因素.
结论:
- 分剂肠道制备比传统疗法更有效,但不影响耐受性.
- 可修改的因素与SD组的准备不足有关,提供了改进的潜力.
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