| 朱奕舟,陈婷婷.大黄穴位贴敷在2型糖尿病肠道准备中的应用效果研究[J].浙江中西医结合杂志,2025,35(9): |
| 大黄穴位贴敷在2型糖尿病肠道准备中的应用效果研究 |
| Application of rhubarb acupoint sticking therapy in bowel preparation for patients with Type 2 Diabetes Mellitus |
| 投稿时间：2024-12-18 修订日期：2025-06-08 |
| DOI： |
| 中文关键词: 大黄 穴位贴敷 2型糖尿病 结肠镜 结直肠肿瘤 |
| 英文关键词:Rhubarb Acupoint Sticking Therapy Type 2 Diabetes Mellitus Colonoscopy Colorectal Tumor |
| 基金项目:嘉兴市科技局项目（2023AD31076）；嘉兴市医学重点学科（2023-zc-010） |
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| 中文摘要: |
| 目的：研究大黄穴位贴敷在2型糖尿病患者肠道准备中的应用效果。方法：选取2023年在嘉兴市第一医院行结肠镜检查的210例2型糖尿病患者,随机分为A、B、C组,每组各70例；A组采用3L复方聚乙二醇电解质散(PGE)、二甲硅油,B 组采用大黄穴位贴敷联合 3L PGE、二甲硅油,C 组采用4L PGE、二甲硅油清洁肠道；比较3组患者盲肠插镜成功率、进境时间、波士顿肠道准备评估量表评分(BBPS)、腺瘤检出率(ADR)、不适评分等。结果：3组的盲肠插镜成功率分别为97.1%、100%、100%(P=0.133)。A组进境时间长于B组(P=0.049)、长于C组(P=0.019),B组和C组进境时间差异无统计学意义(P=0.744)。A组BBPS低于B组(P<0.001)、C组(P<0.001),B组和C组BBPS差异无统计学意义(P=0.475)。A组ADR低于B、C组(P＜0.05),B组与C组差异无统计学意义(P＞0.05)。C组的不适评分显著高于A组(P<0.001)和B组(P<0.001),A组和B组不适评分差异无统计学意义(P=0.529)。结论：2型糖尿病患者肠道准备采用大黄穴位贴敷联合3L PGE方案相比3L PGE方案,缩短进镜时间,提高BBPS及ADR,相比4L PGE方案,可以达到相同的肠道准备效果且提高舒适度。 |
| 英文摘要: |
| Objective: To study the effect of rhubarb acupoint sticking therapy in bowel preparation for patients with type 2 diabetes mellitus. Methods: 210 patients with type 2 diabetes mellitus who underwent colonoscopy at the First Hospital of Jiaxing in 2023 were selected and randomly divided into groups A, B, and C, with 70 cases in each group. Group A used 3L polyethylene glycol electrolyte(PGE) and dimethicone, group B used rhubarb acupoint sticking therapy combined with 3L PGE and dimethicone, and group C used 4L PGE and dimethicone for bowel preparation. The success rate of cecal intubation, intubation time, Boston Bowel Preparation Scale scores (BBPS), adenoma detection rate (ADR), and discomfort scores were compared among the three groups. Results: The success rates of cecal intubation in the three groups were 97.1%, 100%, and 100% respectively (P=0.133). The intubation time in group A was longer than group B (P=0.049) and longer than group C (P=0.019), with no significant difference between group B and C (P=0.744). The BBPS in group A was lower than group B (P<0.001) and group C (P<0.001), with no significant difference between groups B and C (P=0.475). The ADR in group A was lower than groups B and C (P<0.05), with no significant difference between group B and C (P>0.05). The discomfort score in group C was significantly higher than group A (P<0.001) and B (P<0.001), with no significant difference between groups A and B (P=0.529). Conclusion: In bowel preparation for patients with type 2 diabetes mellitus, the rhubarb acupoint sticking therapy combined with 3L PGE shortened the intubation time and improved BBPS and ADR compared to 3L PGE alone, and achieved the similar bowel preparation effect with improved comfort compared to the 4L PGE regimen. |
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