骆菊英 宁雪莲 张丽洁 刘英 彭璐 叶促芽 肖婕 卢如相 李兰凤

【摘要】 目的：不同肠道清洁方法对内镜下肠息肉切除术前清洁疗效、患者配合度及治疗满意度的影响。方法：选取2019年1-12月本院收治的肠息肉患者240例为研究对象，按照随机数字表法分为对照组、试验A组和试验B组，每组80例。息肉切除术前分别采用不同的肠道清洁方法。对照组口服复方聚乙二醇电解质散;試验A组口服复方聚乙二醇电解质散结合常规左侧卧位清洁灌肠;试验B组给予口服复方聚乙二醇电解质散结合旋转体位清洁灌肠法灌肠。比较三组的肠道清洁度、治疗配合度、疾病知识知晓率、满意度。结果：试验A组清洁度高于对照组，试验B组清洁度高于对照组，试验B组清洁度高于试验A组，差异均有统计学意义（P<0.05）;三组比较差异有统计学意义（P<0.05）。试验A组主动准备、规范用药、体位保持、服从指令的评分均高于对照组，试验组配合度各项评分均高于对照组，试验B组配合度各项评分均高于试验A组，差异均有统计学意义（P<0.05）;三组各项比较差异均有统计学意义（P<0.05）。试验A组疾病知识、用药常识、护理知识、生活自理各项知晓率均高于对照组，试验B组各项知晓率均高于对照组，试验B组各项知晓率均高于试验A组，差异均有统计学意义（P<0.05）;三组比较各项差异均有统计学意义（P<0.05）。试验A组总满意高于对照组，试验B组总满意高于对照组，试验B组总满意高于试验A组，差异均有统计学意义（P<0.05）;三组比较差异有统计学意义（P<0.05）。结论：口服复方聚乙二醇电解质散结合旋转体位清洁灌肠法灌肠治疗能够提高患者的肠道清洁度、配合度和疾病知识知晓率，提升患者满意度，为内镜下肠息肉切除术提供良好的术前准备，有较高的临床应用价值。

【关键词】 肠息肉 肠息肉切除 肠道清洁方法 患者配合度 疾病知识知晓率

Effect of Different Intestinal Cleaning Methods on Preoperative Cleaning Efficacy， Patients Coordination Degree and Disease Knowledge Awareness Rate of Endoscopic Gastrointestinal Polypectomy/LUO Juying， NING Xuelian， ZHANG Lijie， LIU Ying， PENG Lu， YE Cuya， XIAO Jie， LU Ruxiang， LI Lanfeng. //Medical Innovation of China， 2021， 18（05）： 0-076

[Abstract] Objective： To study the effect of different intestinal cleaning methods on preoperative cleaning efficacy， patients coordination degree and disease knowledge awareness rate of endoscopic gastrointestinal polypectomy. Method： A total of 240 patients with intestinal polyps admitted to our hospital from January to December 2019 were selected as the research objects， they were divided into control group， experimental group A and experimental group B according to random number table method， 80 cases in each group. Control group oral Compound Polyethylene Glycol Electrolyte Powder; experimental group A oral Compound Polyethylene Glycol Electrolyte Powder + conventional left recumbent position enema; experimental group B was given oral Compound Polyethylene Glycol Electrolyte Powder + rotary posture cleaning enema. The intestinal cleanliness， enema treatment coordination， disease knowledge awareness rate and treatment satisfaction of the three groups were statistically compared. Result： The cleaning rate of experimental group A was higher than that of control group， the cleaning rate of experimental group B was higher than that of control group， the cleaning rate of experimental group B was higher than that of experimental group A， the differences were statistical significance （P<0.05）; there was statistical significance among the three groups （P<0.05）. The scores of active preparation， standardized medication， posture maintenance and instruction obedience in experimental group A were all higher than those in control group， the scores of cooperation degree in experimental group B were all higher than those in experimental group A， the differences were statistical significance （P<0.05）; there were statistically significant differences among the three groups （P<0.05）. The awareness rates of disease knowledge， medication knowledge， nursing knowledge and self-care in test group A were all higher than those in control group， those in experimental group B were all higher than those in control group， the differences were statistical significance （P<0.05）; the differences among the three groups were statistically significant （P<0.05）. The total satisfaction of experimental group A was higher than that of control group， the total satisfaction of experimental group B was higher than that of control group， the total satisfaction of experimental group B was higher than that of experimental group A， with statistical significance （P<0.05）; there was statistical significance among the three groups （P<0.05）. Conclusion： Oral Compound Polyethylene Glycol Electrolyte Powder and rotary position cleaning enema treatment can improve the intestinal cleanliness of patients， improve the patients cooperation degree and disease knowledge awareness rate， improve patient satisfaction， and provide good preoperative preparation for endoscopic intestinal polypectomy， which has high clinical application value.

[Key words] Intestinal polyp Gastrointestinal polypectomy Intestinal clearance method Patient cooperation degree Disease knowledge awareness rate

First-authors address： Yue Bei Peoples Hospital， Shaoguan 512026， China

doi：10.3969/j.issn.1674-4985.2021.05.019

结肠息肉是肠黏膜表面突出到肠腔内的实质性突起病变，在未确定病理性质前均称之为息肉。是患者肠道内常见的一种疾病，也是长期炎症刺激增生的结果[1-2]。结肠息肉易引起患者便秘、便血、下腹疼痛等下消化道症状，严重影响患者的生命健康和生活质量。且结肠息肉还可发生恶性病变，转化为结肠癌，对患者的生命造成严重威胁[3-4]。目前对于结肠息肉的治疗主要以手术切除为主，内镜下肠息肉切除术是最为常用的手术方法。而在手术切除过程中，由于受到肠道肠腔内的粪便、稀粪液等污物的影响，会一定程度上影響患者的手术切除效果，从而影响患者预后[5-6]。……