ABSTRACT
Objective To investigate the effect of activity intervention on intestinal cleansing of patients with cervical cancer undergoing oral administration of compound polyethylene glycol electrolyte powder, so as to improve the intestinal cleanliness of patients and reduce the adverse reactions of drugs. Methods A total of 75 cases of cervical cancer patients were divided into intervention group containing 37 cases and control group containing 38 cases by lottery, the control group before taking medicine was given the diet guidance, explaining the method of taking medicine and time of taking medicine, as well as points for attention after taking medication;while the intervention group increased activity intervention on the basis of the control group. Results The intervention group of patients with intestinal cleanlinessⅠ degree accounted for 78.37％ (29/37), Ⅱ degree (18.91％, 7/37) and Ⅲ degree (2.7％, 1/37); while the control group of patients with intestinal cleanliness Ⅰ degree accounted for 55.3％ (1/38), Ⅱ degree (23.7％, 9/38) andⅢdegree (21.1％, 8/38), and the difference was statistically significant (χ2=6.962, P=0.031).The intervention group with nausea and vomiting level 0 accounted for 59.5％ (22/37), level Ⅰ(24.3％, 9/37) and level Ⅱ(16.2％, 6/37); while the control group with nausea and vomiting level 0 accounted for 28.9％ (11/38), level Ⅰ(44.7％, 17/38), level Ⅱ (26.3％, 10/38), the difference was statistically significant(χ2 = 7.116, P = 0.028). The intervention group with abdominal distension level 0 accounted for 62.2％(23/37), level 1(24.3％, 9/37), level 2 (13.5％, 5/37) and level 3 (0);while the control group with abdominal distension level 0 accounted for 28.9％ (11/38), level 1(47.4％, 18/38), level 2 (21.1％, 8/38) and level 3 (2.6％,1/38), the difference was statistically significant (χ2=8.916, P=0.030). The first defecation time of the intervention group was (2.18 ± 0.59) h and the total defecation time was (2.93 + 0.86) h, while the first defecation time of the control group was (3.13 + 0.64) h and the total defecation time was (3.80+1.01) h, and the difference was statistically significant (t=-3.035,-2.520, P<0.01 or 0.05). Conclusion Activity intervention can improve the intestinal cleansing effect of cervical cancer patients and reduce the occurrence of adverse reactions.
ABSTRACT
Objective To explore different approaches in administrating polyethylene glycol (PEG) solution in bowel preparation.Methods From January 2015 to June 2015, 218 patients eligible for this study were randomly divided into three groups (group A, 2 L PEG solutions 4 hours before colonoscopy; group B, 2 L PEG solutions 6 hours before colonoscopy; group C, 1 L PEG the night before and 1 L at least 4 hours before colonoscopy). The quality of bowel preparation was assessed on the basis of the Boston bowel preparation scale. A questionnaire was also completed to assess the subjective feelings of the preparation, including the overall satisfaction and discomfort with drug preparation, the feeling of abdominal distension, abdominal pain, nausea and vomiting, and the character of stool.Results In terms of intestinal cleanliness, statistical difference was shown between groups. Significant difference was found between group A and group C. However, the PDR between these three groups showed no statistical difference. No signiifcant difference was found between the three groups considering the overall satisfaction and subjective feelings of preparation.Conclusions Without affecting the subjective feelings of patients, splitting dose of PEG solution improve the quality of bowel preparation and is worthy to be recommended.
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Objective To investigate the influence of oral intake of goop before oral intestinal cleaning drugs on blood glucose,cleansing effect and tolerance of patients.Methods 88 patients who were prepared for intestinal examination or bowel treatment with enteroscope were randomly divided into the food-intake group (group A) and the fasting group (group B) with 44 cases in each group.Group A was given goop 2.5 hours before oral intake of intestinal cleansing drugs,group B fasted before oral intake of intestinal cleansing drugs.Blood glucose was monitored before as well as 6 hours after oral intake of intestinal cleansing drugs.Intestinal cleansing effect was evaluated during intestinal examination or bowel treatment with enteroscope.Cases of patients who ceased intestinal examination or bowel treatment with enteroscope due to intolerance were summarized.The blood glucose,cleansing effect and tolerance of patients were compared between two groups.Results There was significant difference in blood glucose between the two groups before and after oral intake of intestinal cleansing drugs.The cleansing effect showed no significant difference,but the difference of tolerance between two groups was significant.Conclusions Intake of goop 2.5 hours before oral intake of intestinal cleansing drugs does not affects intestinal cleansing effect,and it can obviously increase the blood sugar,improve tolerance of patients,thus ensure the smooth completion of intestinal examination or bowel treatment with enteroscope.
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Objective To explore the effect of two different enema methods in congenital megacolon children. Methods 70 cases of congenital megacolon children were randomly divided into the experimental group and the control group with 35 cases in each group respectively. The control group used traditional reflux-enema; The experimental group was implemented systemic and modified back reflux-enema (negative pressure drainage vessel to reflux-enema plus the padded-fixation of anal canals, cooperated with manual massage of lower abdomen along the direction of colon, if necessary, changed body position). The average enema time, the postoperative hospital stay and the effect of cleaning the intestine in the two groups were observed. Results Compared with the control group, the average preoperative enema time and hospitalization time was significantly shorter, and intestine cleaning effect was better in the experimental group. Conclusions Modified reflux-enema could increase preoperative enema time and postoperative hospitalization time, and had good effect on cleaning intestine.
ABSTRACT
Para a realização adequada da colonoscopia, é necessária uma limpeza colônica satisfatória. Existem vários métodos de preparo intestinal, mas para crianças ainda não existe um ideal. Portanto, buscamos, com este trabalho, um preparo intestinal padrão para esta faixa etária, que proporcione uma limpeza colônica excelente, tenha menos efeitos colaterais, grande aceitabilidade e custo reduzido, garantindo o apoio e a segurança dos familiares sobre o método. Foram avaliadas 46 crianças que se submeteram a videocolonoscopia, no período de 2002 a 2006, no serviço de videocolonoscopia do Hospital Universitário de Sergipe e na UPEP. As crianças foram divididas nos seguintes grupos etários: até um ano (grupo A), crianças de 1 a 5 anos(grupo B) e crianças maiores que 5 anos (grupo C). Nos lactentes e menores que 5 anos, foi usado fosfato de sódio via retal e as crianças maiores que 5 anos receberam solução de manitol via oral. Das 25 crianças que usaram o fosfato de sódio por via retal, o preparo foi excelente em 21 (88 por cento) pacientes e bom em 1 (4 por cento) paciente, embora todas as mães tenham relatado uma aplicação difícil. As outras 21 crianças usaram manitol, com resultado excelente em 17 (80,9 por cento) pacientes e bom em um (4,8 por cento) paciente; entretanto, todas as crianças apresentaram náuseas e vômitos após sua ingestão, com recusa pelas crianças devido ao grande volume. Alcançou-se o ceco em 41 (89 por cento) casos, dos quais, o íleo terminal foi alcançado em 19 (41,3 por cento) casos. Um preparo intestinal individualizado permitiu alto índice de bom preparo e baixa morbidade.
To an accurate colonoscopy procedure it is necessary a satisfactory colonic cleansing. There are many bowel preparation methods for adults, but there is not any ideal method for children. Therefore, this study tried to find a standard method for this age that can associate excellent colonic cleansing, less side effects, higher acceptability and affordability, relatives' support. Forty-six children were evaluated after they had undergone a video colonoscopy, between 2002 and 2006, at the department of video colonoscopy of Hospital Universitário de Sergipe and at UPEP. They were placed in the following groups: children until 1 year old (group A), children from the age of 1 to 5(group B), and children over 5 (group C). In the first and second groups, sodium phosphate was administered via rectum, and in the third group the children received oral manitol solution. From the 25 children that used the rectal sodium phosphate, the preparation was excellent in 22 (88 percent) and good in 1 (4 percent), although all the parents emphasized a difficult application. From the other 21 children, that used manitol, 17 (80,9 percent) had an excellent preparation, 1 (4,8 percent) had good preparation, 2 (9,5 percent) had a regular preparation and 1 (4,8 percent) had a very bad preparation, although all the children had vomited and had felt sick after its ingestion, with low acceptation by the children due to the big volume. The cecum was reached in 41 (89 percent) cases, from which 19 (41,3 percent) had been examined until the terminal ileum. An indivualized prepare allowed great level of good prepare and low morbidity.