Abstract:

Objective

To explore the effectiveness of flushing laxative medications solution under colonscopy as a remedial measure to achieve the purpose of examination in patients with inadequate bowel preparation during colonoscopy.

Method

A retrospective analysis of 76 patients who underwent colonoscopy at the 980th Hospital of the Joint Logistics Support Force between January 2018 and June 2024 and were found to have inadequate bowel preparation，with subsequent endoscopic rescue measures taken.The study subjects were divided into an experimental group and a control group based on whether they were flushing laxative medications solution under colonscopy or not.The experimental group and the control group were flushed with laxative medications solution and physiological saline，respectively.Compare the Boston bowel preparation scores，operation time，completion rate of examination targets，and summarize nursing experience between two groups.

Result

42 cases were included in the experimental group and 34 cases were included in the control group.There was no statistical difference in gender and age between the two groups.Among the patients included，54 cases （71.1%） underwent emergency colonoscopy，15 cases （19.7%） underwent routine examination，and 7 cases （9.2%） underwent polypectomy.In the experimental group，23 cases（54.8%） used compound polyethylene glycol electrolyte，and 19 cases （45.2%） used magnesium sulfate.The bowel preparation score for the experimental group was 2.02±0.81，while the control group's score was 1.74±0.75，with no significant statistical difference between the two groups.The average time for colonoscopy in the experimental group was 54.58 ± 12.80 minutes； The average time consumption of the control group was 66.98 ± 16.38 minutes，and there was a significant statistical difference in surgical time between the two groups.The completion rate of colonoscopy target examination of the experimental group was 95.2% and control group was 82.4%，with a statistically significant difference between the two groups.

Conclusion

The remedial measure of flushing laxative medications solution in patients with inadequately prepared colon during colonoscopy has the advantages of shortening operation time and high completion rate of examination，but it demands higher standards of nursing care.

Key words: Inadequately prepared colon, Flushing laxative medications solution, Remedial measures, Compound polyethylene glycol electrolyte, Magnesium sulfate