RESUMEN
Objective To explore the difference in gastric residual volume (GRV) between singledose and split-dose bowel preparation before colonoscopy under general anesthesia.Methods From October 8th to December 30th in 2016,the out-patients undergoing gastroscopy and colonoscopy with anesthesia services on the same day were selected and divided into the traditional single-dose bowel preparation group and split-dose bowel preparation group.The GRV and intestinal preparation quality were compared between the two groups.T test was used for statistical analysis and multiple linear regression analysis was performed for the influence factors of GRV analysis.Results A total of 121 patients were enrolled,60 patients in the spilt-dose bowel preparation group and 61 in the traditional single-dose bowel preparation group.The mean GRV of the split-dose bowel preparation group was (17.3 ± 12.2) mL,which was lower than that of the single-dose bowel preparation group ((23.7 ± 14.6) mL),and the difference was statistically significant (t =2.642,P=0.009).The score of intestinal preparation quality of the split-dose bowel preparation group was 8.05 ± 0.85,which was higher than that of the single-dose bowel preparation group (7.67±1.19),and the difference was statistically significant (t =-2.002,P=0.048).Fasting time was related with GRV (odd ratios (OR)=1.732,95％ contidence interval (CI) O.299 to 3.168,P=0.018).Conclusion The GRV of patients with split-dose bowel preparation before colonoscopy is lower than that of traditional single-dose bowel preparation,thus reducing the risk of aspiration during anesthesia.
RESUMEN
Objective To explore the efficacy and safety of large and conventional fractionated three dimensional conformal radiation therapy for non small cell lung cancer with superior vena cava compression syndrome, and to provide clinical reference for improving the prognosis of patients with non small cell lung cancer. Methods The general data of 63 patients with non small cell lung cancer complicated with superior vena cava syndrome treated in Lu'an Hospital of Traditional Chinese Medicine from January 2010 to December 2012 were analyzed retrospectively. According to the different treatment methods, the patients were divided into observation group ( n =28) and control group ( n =35) .The control group was given conventional fractionated three-dimensional conformal radiation therapy, three dimensional conformal radiation therapy was given to the observation group. The clinical efficacy, toxicity, and 1, 2 years survival rate of the two groups were compared. Results The complete remission rate of observation group was 96.43%, which was significantly higher than 74.29%in the control group (P0.05) . There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05) . There was no significant difference in 1, 2 year survival rate between the two groups (P>0.05) . Conclusion Three dimensional conformal radiation therapy for non small cell lung cancer patients with superior vena cava syndrome is superior to conventional treatment, and does not increase the toxic side effects, which is worthy of clinical attention.
RESUMEN
Colon preparation is more effective if it is partially or totally administered the same day of the colonoscopy. Objective: To know acceptance of a preparation guideline for the same day of the procedure and adherence to this guideline once it is implemented in a digestive endoscopy center. Methods: First, the importance of a preparation guideline for the same day was explained and adult patients and accompanying persons with preparation in the previous day were asked if they would be willing to prepare for the colonoscopy 4-5 h before the procedure. In the second stage, adult patients were surveyed who received instructions to prepare using polyethylene glycol solution (3 litres) the same day of the procedure. Results: 160 people were surveyed in phase one. 86 percent was willing to get up at 4 am to drink the solution, without statistical correlation with the other variables studied. 42.7 percent would prefer to split the doses and 39 percent would drink all the same day. 102 people were surveyed in phase two. 92 percent drank the preparation totally or partially the same day of the procedure (69 percent and 25 percent, respectively). 82 percent drank at least 80 percent of the dose. 51.5 percent described the preparation process as quite or very unpleasant. 45 percent would prefer colonoscopy preparation in the previous day. Conclusions: In our experience, most patients would accept preparation in the same day of the procedure and adhere to this, however, almost 50 percent would prefer to take it the previous day, in a future procedure.
La preparación de colon es más efectiva si es administrada parcial o totalmente el mismo día de la colonoscopia. Objetivo: Conocer la aceptación a una pauta de preparación al menos en parte el mismo día de la colonoscopia y adherencia a esta una vez implementada en un Centro de Endoscopia Digestiva. Métodos: Primero se explicó la importancia de una pauta de preparación el mismo día y se encuestó a pacientes adultos y acompañantes a estudio endoscópico con preparación exclusiva el día anterior si estarían dispuestos a realizar preparación para colonoscopia 4-5 h antes de la prueba. En la segunda fase se encuestó a pacientes adultos a los que se había indicado preparación con solución de polietilenglicol (3 litros) el mismo día del procedimiento. Resultados: En la fase 1 se encuestó a 160 personas. El 86 por ciento aceptaría levantarse a las 4 AM para tomar la preparación, sin relación estadística con las demás variables estudiadas. El 42,7 porciento preferirían tomar la dosis en forma repartida y 39 por ciento preferían beber todo el mismo día. En la fase 2 se encuestó a 102 personas. El 92 porciento tomó la preparación total o parcialmente el mismo día del examen (69 por ciento y 25 por ciento respectivamente). El 82 porciento tomó al menos 80 por ciento de la cantidad indicada. El 51,5 porciento calificó el proceso de la preparación como bastante o muy desagradable. El 45porciento preferiría en colonoscopias futuras la preparación el día anterior. Conclusiones: En nuestro medio, la mayoría de los pacientes aceptarían la pauta de preparación el mismo día de la prueba y adhieren a esta, aunque casi la mitad preferiría tomarla el día anterior en el futuro.