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【科普】肠镜检查前的肠道准备工作

发布时间:2023-07-25
来源:宜宾市中医医院 0831-5858120
浏览:6350
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随着内镜诊疗技术的快速发展
肠道疾病检出率不断提升
大家对自身胃肠健康的状况
越来越重视
肠镜检查的需求越来越多
那么
如何做好一个高质量的肠道检查呢?
肠镜检查前需要做哪些准备工作?

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接下来
宜宾市中医医院胃镜室的医师们
和您聊一聊
关于肠镜检查前肠道准备的一些问题

图片

肠镜检查是将一条末端装有微型电子摄像机的软管,由肛门处慢慢进入大肠,利用摄像探头将大肠黏膜的图像同步显示在监示器上,以检查肠道内的病变。

结肠镜是筛查、诊断和治疗结肠病变的重要手段,其诊断的准确性和治疗的安全性与肠道准备的质量密切相关,充分的肠道准备可使患者获得较高的肠道清洁度,对实现高质量的肠镜诊疗具有重要意义,肠道准备不充分可降低结肠镜检查的有效性和安全性,且影响肠镜检查的腺瘤检出率。


如何做到良好肠道准备呢?

第一步饮食控制

饮食限制可减少肠道中残留的食物残渣,从而提高肠道准备的清洁度,肠镜检查前一天,采用低渣饮食、低纤维饮食或者流食,禁食蔬菜、水果、藻类等,饮食限制一般不超过24小时。


第二步肠道清洁剂的用法

在清洁肠道请遵医嘱选择肠道清洁剂,肠道清洁剂大致有聚乙二醇电解质散,镁盐、磷酸钠,匹可硫酸钠等,下面我们以比较符合大部分中国人群的聚乙二醇电解质散为例,讲解它的服用方法:(详见下方视频)


宜宾市中医医院,赞40
 # 注意事项

1)如果您长期便秘,请向医师说明。


2)如果您常规服用降压药,可以在服用清肠剂前2小时服用。


3)糖尿病患者因为没有进食,所以降糖药不能服用。


4)非糖尿病患者如果出现低血糖表现时,可适当喝一些白糖水或无色含糖饮料,白糖水没有颜色,不会影响肠镜检查。


5)如果您在月经期,请向医师说明,错开月经期再做肠镜检查。


6)如果需要肠镜下电切等治疗,并且您同时服用阿司匹林、氯吡格雷、华法林等抗凝药,一定要向医师说明。


7)检查之后,不要马上进食,待结肠内气体排出后方可进食。


8)当服用约1升清洁剂后仍未排便时,在确认没有呕吐、腹痛之后才可以重新服药,并密切观察,直至排便。


9)在做无痛肠镜检查时,须有家属陪同



· 宜宾市中医医院胃镜室 ·


宜宾中医院胃镜室是以胃肠镜检查及内镜下微创治疗相结合的科室,精英团队均出三甲医院消化内科及内镜中心骨干成员。科室拥有日本进口奥林巴斯EVIS290高清晰度电子胃肠镜(包括检查镜、治疗镜和放大胃镜)及德国进口爱尔博电刀工作站,有高频电刀、热极、氩气刀等各种治疗仪器。常规开展无痛胃肠镜检查及多项内镜下治疗技术:

1)早期消化道肿瘤的诊断及治疗技术。

2)消化道黏膜下肿瘤剥离术。

3)急诊内镜绿色通道:消化道异物取出术;急性消化道出血的内镜下止血治疗。

4)其他内镜诊疗技术:肝硬化食道胃底静脉曲张套扎、硬化及组织胶注射治疗;贲门失弛缓经口内镜下肌切开术(POEM);科室将以一流的技术,优质的服务,为广大市民提供专业的诊疗服务。


胃镜室:宜宾市中医医院门诊部2楼

咨询电话:0831-7865021

住院部:宜宾市中医医院内科大楼5楼

咨询电话:0831-7865036、7865037


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org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:52) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.web.filter.ApplicationContextHeaderFilter.doFilterInternal(ApplicationContextHeaderFilter.java:55) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AbstractShiroFilter.executeChain(AbstractShiroFilter.java:449) at org.apache.shiro.web.servlet.AbstractShiroFilter$1.call(AbstractShiroFilter.java:365) at org.apache.shiro.subject.support.SubjectCallable.doCall(SubjectCallable.java:90) at org.apache.shiro.subject.support.SubjectCallable.call(SubjectCallable.java:83) at org.apache.shiro.subject.support.DelegatingSubject.execute(DelegatingSubject.java:387) at org.apache.shiro.web.servlet.AbstractShiroFilter.doFilterInternal(AbstractShiroFilter.java:362) at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AdviceFilter.executeChain(AdviceFilter.java:108) at org.apache.shiro.web.servlet.AdviceFilter.doFilterInternal(AdviceFilter.java:137) at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at com.alibaba.druid.support.http.WebStatFilter.doFilter(WebStatFilter.java:123) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.actuate.trace.WebRequestTraceFilter.doFilterInternal(WebRequestTraceFilter.java:110) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.tuckey.web.filters.urlrewrite.RuleChain.handleRewrite(RuleChain.java:176) at org.tuckey.web.filters.urlrewrite.RuleChain.doRules(RuleChain.java:145) at org.tuckey.web.filters.urlrewrite.UrlRewriter.processRequest(UrlRewriter.java:92) at org.tuckey.web.filters.urlrewrite.UrlRewriteFilter.doFilter(UrlRewriteFilter.java:389) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.RequestContextFilter.doFilterInternal(RequestContextFilter.java:99) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HttpPutFormContentFilter.doFilterInternal(HttpPutFormContentFilter.java:105) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HiddenHttpMethodFilter.doFilterInternal(HiddenHttpMethodFilter.java:81) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.CharacterEncodingFilter.doFilterInternal(CharacterEncodingFilter.java:197) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at 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org.apache.coyote.http11.Http11Processor.service(Http11Processor.java:799) at org.apache.coyote.AbstractProcessorLight.process(AbstractProcessorLight.java:66) at org.apache.coyote.AbstractProtocol$ConnectionHandler.process(AbstractProtocol.java:861) at org.apache.tomcat.util.net.NioEndpoint$SocketProcessor.doRun(NioEndpoint.java:1455) at org.apache.tomcat.util.net.SocketProcessorBase.run(SocketProcessorBase.java:49) at java.util.concurrent.ThreadPoolExecutor.runWorker(ThreadPoolExecutor.java:1149) at java.util.concurrent.ThreadPoolExecutor$Worker.run(ThreadPoolExecutor.java:624) at org.apache.tomcat.util.threads.TaskThread$WrappingRunnable.run(TaskThread.java:61) at java.lang.Thread.run(Thread.java:748)