Application of individualized intestinal preparation in colonoscopy of elderly patients under intravenous anesthesia

LV Yue; HE Lixia; GE Jie; WANG Xinyu; XU Qingqing; WANG Liyuan

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Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (12) : 1065-1068.

Application of individualized intestinal preparation in colonoscopy of elderly patients under intravenous anesthesia

LV Yue^1,3, HE Lixia^1,3, GE Jie^1,3, WANG Xinyu^1,3, XU Qingqing^1,3, WANG Liyuan^2,3

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Abstract

Objective To investigate the cleanliness of intestinal preparation and patient satisfaction during colonoscopy in elderly patients with personalized intestinal preparation.Methods A total of 98 elderly patients receiving painless colonoscopy under propofol sedation and anesthesia in the Digestive Endoscopy Center of the Second Medical Center of Chinese PLA General Hospital from March 2021 to March 2022 were randomly divided into control group and observation group, with 49 cases in each group. The control group received routine bowel preparation, and the observation group received individualized bowel preparation before colonoscopy. The cleanliness of intestinal preparation and patients’ satisfaction with the intestinal preparation were compared between the two groups.Results Individualized intestinal preparation program was implemented before colonoscopy in the elderly under intravenous anesthesia. The score of Boston Intestinal preparation Scale was (7.83±0.35) in the observation group and 6.91±0.73 in the control group. There was statistical difference in the overall mean score of Boston Intestinal preparation Scale between the two groups (P<0.05). The comparison of intestinal preparation satisfaction between the two groups showed that the satisfaction rate of the observation group was higher than that of the control group (98.00% vs 79.60%), and there was statistically significant difference(P<0.05).Conclusions The implementation of individualized intestinal preparation program greatly improves the satisfaction of patients with intestinal preparation, and the Boston score is significantly higher than that of the control group, and this program can improve the accessibility, continuity and standardization of care.

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individualized program / intestinal preparation / elderly patients / colonoscopy under intravenous anesthesia

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LV Yue, HE Lixia, GE Jie, WANG Xinyu, XU Qingqing, WANG Liyuan. Application of individualized intestinal preparation in colonoscopy of elderly patients under intravenous anesthesia[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(12): 1065-1068

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