The Timing Of Bowel Preparation For Colonoscopy In The Clinical Application Study

[Objective]Observed by the different timing of bowel preparation, assessment of the afternoon, the line quality of bowel preparation for colonoscopy patients, tolerance index, sleep duration and sleep score, safety indicators, seeking suitable line colonoscopy patient safety in the afternoon, effective feasible bowel preparation medication time interval.[Method]Select a tertiary level general hospitals ordinary colonoscopy hospitalized patients in the afternoon (14:00-16:00) as a research object, the appointment order of included patients before colonoscopy use the random number table is divided into three groups, the guidance patients with different time——control group:check in6:00last night and the date of the examination day morning10:00; trial group A1: check in the morning6:00and check the date of the morning11:00; trial group A2: Check in8:00last night and check the date of the morning8:00. bottles of oral sodium phosphate solution line bowel preparation, observation colonoscopy in patients with intestinal cleanliness, complained of discomfort (nausea, vomiting, abdominal distension, etc.), sleep time and sleep score, blood chemistry, electrolyte and hemodynamic other indicators, seeking safe, effective, feasible method of bowel preparation. The obtained data were statistically analyzed using the statistical software spss18.0.[Results]①intestinal cleanliness:the total score of The Boston Bowel Preparation Scale: test Al group (8.00±1.50) points, test A2group (7.12±2.0) points, the control group (6.09+2.4) points, There were significant differences in the three groups of patients (P<0.05) and the test group A1with other two groups pairwise comparisons were statistically significant (p<0.0167); segment score:test A1group of the left colon rating:(2.91±0.37) points, the transverse colon ratings (2.77±0.60) points, the right hemicolectomy score (2.34±0.68) points, were higher than the test group A2, the control group, the three groups of patients with significant difference (P<0.05); tests Al group, test group A2, the control group excellent rate:94.29%,63.63%,47.06%.②tolerance:complaints:three groups of patients about nausea, vomiting, abdominal distension, anal stimulation had no significant difference (P>0.05); total duration of action:three groups of patients with statistically significant difference (P<0.05), test Al group role shortest; total number of bowel movements: the first bottles of the drug after oral administration, the total number of bowel movements compare the difference was not statistically significant difference (p>0.05) was statistically significant, the difference between the total number of bowel movements2bottles of drugs after oral administration (p<0.05), the test group A1total number of bowel movements less than the other two groups of patients.③the sleep indicators:Sleep Rating:three groups of patients with score of1(the percentage of sleep is not affected) followed by respectively:85.7%,18.2%,38.2%, statistically significant difference (P<0.05) compared three groups of patients, test group A1and control with the other two groups twenty-two were statistically significant (p<0.0167); Check the last night of total rest time:Test A1group (489.86±86.69) minutes, the test group A2(396.06±151.92) minutes group (385.00±122.41) minutes, three groups of patients the difference was statistically significant (p<0.05); compare total rest time than usual total rest time of check last night of the three groups of patients were reduced to varying degrees, but the test group A1check last night total rest time compared with the baseline no statistically significant difference (p>0.05), the remaining two groups were statistically different (P<0.05) compared with baseline; indicator④security:Electrolyte:three groups of patients after bowel preparation serum sodium, potassium, calcium, phosphorus, have varying degrees of fluctuation in serum creatinine, in addition to the control group in patients with a serum sodium135mmol/L, slightly lower than normal, the remaining patients electrolyte fluctuations were within the normal range;:three groups of patients with intestinal Road ready, after group comparison between the two groups had no statistical difference (p>0.05); Weight:102patients with bowel preparation weight were tested reduced to varying degrees, were statistically bowel preparation before difference (P<0.05), but between the two groups showed no significant difference (p>0.05); blood pressure:three groups of bowel preparation in patients with systolic blood pressure, diastolic blood pressure than the gut before provisions decreased, and were within the normal range, the group compared had no statistically significant difference (p>0.05).[Conclusion]Three sets of oral sodium phosphate solution bowel preparation in patients with the highest intestinal cleanliness oral test group Al taken the time interval, time with minimal impact on the patient’s sleep, bowel preparation time, the total number of bowel movements less, and not the patient complaints were caused by the increase to ensure the safe use of drugs, afternoon colonoscopy patients is worth learning, to promote the oral method.