- 期刊
Does MAGVAC# Fare Better than Oral Dulcolax for Bowel Preparation before Intravenous Urography: A Double-Blind Randomized Study
MAGVAC比口服Dulcolax在靜脈腎盂造影術之腸道預備是否有較好的效果？
摘要
儘管「腸道預備」在放射線造影檢查中所扮演的角色仍頗有爭議，台灣的醫療機構通常仍習慣性地在檢查之前，給予受檢者某種程度的「腸道預備」，期使造影底片上的直腸內容物(腸氣、固體穢秘)能儘量清除，以提高造影品質和診斷的準確度。 本研究的目的在比較兩種不同性質的瀉劑：「鎂福」和「樂可舒」，在使用後對患者所造成的腸導不適感，並同時比較這兩個族群「靜脈腎盂攝影」底片之清晰度和影像品質。研究結果顯示，兩種瀉劑都會引起腹絞痛或輕瀉的現象，但兩者之間的比較沒有統計上的差異存在。在腸氣排空和腸固體穢物排空的比較方面，兩者也是相差無幾，無特殊之差異性。雖然在「鎂福」之族群中有百分之六十一之底片影像品質評為「優等」，「樂舒」族群則僅有百分之五十，但二者之間比較仍不具統計意義。大約有三分之一的病患感覺「銓福」口服孔液之口感頗差，不容易入口。
並列摘要
The value of bowel preparation before contrast enhanced radiologic examination is a topic of great controversy. In most institutes, application of different laxative regiments for bowel prepa-ration before IVU has been practiced for a long time. An Investigation comparing two regimens with different laxative in a prospective, randomized and double-blind manner was undertaken on 54 cases, 26 and 28 respectively, receiving either Magvac (Magnesium Citrate oral solution) or Dulcolax (Bisacodyl tablet) for bowel preparation. The results revealed that no difference between the two regimens in the severity of abdominal cramping, number of bowel movement or incidence of gastrointestinal up-set in either grops. Nor was any difference observed in the film quality using completeness of bowel gas emptying and fecal material emptying as comparing parameters. The overall assessment of IVU film quality showed that 61.5% in Magvac group and 50% in Dulco-lax group was graded as excellent or good, although the difference was not significant statistic-cally. Nine among 26 (34.6%) in the Magvac group reported that the taste of this oral solution was poor or bad while only 1 complained so in the Dulcolax group.