郑毓英,吕志武.利那洛肽联合PEG在慢性便秘患者肠道准备中的应用.[J].中南医学科学杂志.,2023,(2):257-260.
利那洛肽联合PEG在慢性便秘患者肠道准备中的应用
Application of linaclotide combined with PEG in bowel preparation of patients with chronic constipation
投稿时间:2022-04-26  修订日期:2022-12-10
DOI:10.15972/j.cnki.43-1509/r.2023.02.025
中文关键词:  利那洛肽  PEG  慢性便秘  肠道准备 [
英文关键词:linaclotide  PEG  chronic constipation  bowel preparation
基金项目:深圳市科技创新委员会基础研究项目(JCYJ20160427192552523)
作者单位E-mail
郑毓英 南方医科大学第二临床医学院, 广东广州 510515
深圳市宝安区石岩人民医院, 广东深圳 518108 
e-mail为zyy1298468124@163.com,e-mail为944377508@qq.com 
吕志武 南方医科大学第二临床医学院, 广东广州 510515
深圳市宝安区人民医院, 广东深圳 518101 
e-mail为zyy1298468124@163.com,e-mail为944377508@qq.com 
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中文摘要:
      目的探究利那洛肽联合复方聚乙二醇电解质散(PEG)在慢性便秘患者肠道准备中的应用。 方法选择行结肠镜慢性便秘患者227例,分为2L PEG组(服用2L PEG)、利那洛肽组(服用利那洛肽联合2L PEG)、3L PEG组(服用3L PEG)。比较各组患者肠道清洁度、排便、盲肠插管、结肠腺瘤和息肉检出、耐受性等情况。 结果利那洛肽组和3L PEG组Boston量表总分高于2L PEG组(P<0.05)。2L PEG组、3L PEG组、利那洛肽组首次排便时间依次缩短,2L PEG组和3L PEG组末次排便时间均长于利那洛肽组,2L PEG组和利那洛肽组排便频率低于3L PEG组(P<0.05)。利那洛肽组和2L PEG组耐受性优于3L PEG组(P<0.05)。其他观察指标差异均无统计学意义(P>0.05)。 结论利那洛肽联合PEG在慢性便秘患者肠道准备中有效且耐受性良好,具有较好应用价值。
英文摘要:
      AimTo explore the application of linaclotide combined with compound polyethylene glycol electrolyte powder (PEG) in bowel preparation of patients with chronic constipation. Methods227 patients with chronic constipation undergoing colonoscopy were divided into 2L PEG group (2L PEG), linaclotide group (linaclotide combined with 2L PEG), and 3L PEG group (3L PEG). Compare the bowel cleanliness, defecation, cecal intubation, detection and tolerance of colonic adenoma and polyp in each group. ResultsThe total score of Boston scale in linaclotide group and 3L PEG group was higher than that in 2L PEG group (P<0.05). The first defecation time of 2L PEG group, 3L PEG group and linaclotide group was shortened in turn, the last defecation time of 2L PEG group and 3L PEG group was higher than that of linaclotide group, and the defecation frequency of 2L PEG group and linaclotide group was lower than that of 3L PEG group (P<0.05). The tolerance of linaclotide group and 2L PEG group was better than that of 3L PEG group (P<0.05). There was no significant difference in other observation indexes (P>0.05). ConclusionLinaclotide combined with PEG is effective and well tolerated in bowel preparation of patients with chronic constipation, and has good application value.
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