南京市某三甲医院住院患者结肠镜检查肠道准备质量现状及其影响因素分析-现代医学

南京市某三甲医院住院患者结肠镜检查肠道准备质量现状及其影响因素分析

单位：1. 东南大学医学院, 江苏南京 210009;
2. 东南大学附属中大医院, 江苏南京 210009

分类号：R473.5

出版年·卷·期（页码）：2023·51·第五期（675-682）

摘要：

目的：分析南京市某三甲医院住院行结肠镜检查患者肠道准备质量现状及其影响因素。方法：选择南京市某三甲医院2022年6月至2022年10月拟行结肠镜检查的464例住院患者为研究对象，收集患者一般资料、临床资料和肠道准备结果，分析患者肠道准备不充分的影响因素。结果：肠道准备不充分发生率为27.37%(127/464)。多因素分析结果显示，检查前1 d高纤维饮食(OR＝13.391,95%CI为7.365～24.344)、合并糖尿病(OR＝3.437,95%CI为1.696～6.964)、有便秘史(OR＝8.194,95%CI为3.670～18.294)、男性(OR＝2.060,95%CI为1.214～3.498)、服用钙通道阻滞剂(OR＝1.955,95%CI为1.022～3.740)、服药期间步行时长＜30 min(OR＝1.680,95%CI为1.004～2.810)、下午行结肠镜检查(OR＝2.242,95%CI为1.226～4.100)是住院患者结肠镜检查肠道准备不充分的独立影响因素。结论：应重点关注行结肠镜检查住院患者肠道准备期间饮食、运动状况，特别是对男性、合并糖尿病、有便秘史、服用钙通道阻滞剂及在下午时段行结肠镜检查的患者，制定具有针对性的肠道准备方案，以提高住院结肠镜检查患者的肠道准备质量。

Objective: To analyze the influencing factors for the quality of bowel preparation among the inpatients undergoing colonoscopy in a Nanjing-based grade-A tertiary hospital. Methods: Of the inpatients undergoing colonoscopy at the hospital from June 2022 to October 2022, 464 were selected as our study subjects. The selected inpatients' profiles, clinical data and bowel preparation results were collected to analyze the factors that led to insufficient bowel preparation. Results: The incidence of insufficient bowel preparation was 27.37%(127/464). As indicated in the multi-factor analysis, the independent factors influencing insufficient bowel preparation for colonoscopy included high fiber diets eaten one day before colonoscopy(OR=13.391, 95%CI 7.365-24.344), diabetes complications(OR=3.437, 95%CI 1.696-6.964), history of constipation(OR=8.194, 95%CI 3.670-18.294), male(OR=2.060, 95%CI 1.214-3.498), intake of calcium channel blockers(OR=1.955, 95%CI 1.022-3.740), less than 30 minutes of walking during medication(OR=1.680, 95%CI 1.004-2.810), and afternoon colonoscopy(OR=2.242, 95%CI 1.226-4.100). Conclusion: Focus should be given to inpatients' diet and exercise during bowel preparation for colonoscopy. Targeted bowel preparation plans should be crafted for males, inpatients with diabetes complications, history of constipation, and those taking calcium channel blocker or undergoing colonoscopy in the afternoon. Only in this way can the quality of bowel preparation be improved.

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