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Gastrointest Endosc:肠道准备时,少渣饮食优于流质饮食

2016-03-23 MedSci MedSci原创

近期发表在Gastrointest Endosc呃荟萃分析称,结肠镜检查前一天,患者在进食少渣饮食(LRD)后,对重复肠道准备有更好的依从性(与流质饮食(CLD)相比)。此外,患者对低渣饮食的耐受性更好,在不良事件或肠道准备质量方面,两种饮食没有差异。研究者检索Scopus、PubMed/MEDLINE等数据库后,纳入了9项比较结肠镜筛查前一天不同饮食(LRD vs CLD)的随机对照试验进行荟萃

近期发表在Gastrointest Endosc的荟萃分析称,结肠镜检查前一天,患者在进食少渣饮食(LRD)后,对重复肠道准备有更好的依从性(与流质饮食(CLD)相比)。此外,患者对低渣饮食的耐受性更好,在不良事件或肠道准备质量方面,两种饮食没有差异。

研究者检索Scopus、PubMed/MEDLINE等数据库后,纳入了9项比较结肠镜筛查前一天不同饮食(LRD vs CLD)的随机对照试验进行荟萃分析,涉及1686名成人患者。

有5项研究共涉及864名患者,探究了肠道准备饮食和耐受性,结果显示,进食LRD患者的耐受性高于CLD组(OR = 1.92; 95% CI, 1.36-2.7)。

有4项研究共涉及800名患者,探究了肠道准备饮食和重复肠道准备依从性,结果显示,进食LRD患者的依从性更好(OR = 1.86; 95% CI, 1.34-2.59)。

合适的肠道准备 (OR = 1.21; 95% CI, 0.64-2.28) 或不良事件(OR = 0.88; 95% CI, 0.58-1.35)在LRD组和CLD组没有差异。

研究者写道:“荟萃分析结果显示,结肠镜检查前一天,进食LRD进行肠道准备,而不是现在普遍使用的CLD,可以提高患者耐受性和重复肠道准备的依从性。并且可以得到与CLD相同的肠道准备结果。不仅如此,当患者的肠道准备饮食不再局限于CLD时,或许患者更容易遵守肠道准备的注意事项。”

原始出处:


Low-residue versus clear liquid diet before colonoscopy: a meta-analysis of randomized,controlled trials. Gastrointest Endosc 2016 Mar;83(3):499-507

Low-residue diet before colonoscopy better tolerated by patients than clear liquid diet.healio.11 March 2016

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    2017-01-26 lqvr
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    2016-09-16 1e10c84am36(暂无匿称)

    不错哦,会学到很多

    0

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  5. [GetPortalCommentsPageByObjectIdResponse(id=1943393, encodeId=7c6d1943393e1, content=<a href='/topic/show?id=fa761e2916a' target=_blank style='color:#2F92EE;'>#Test#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17291, encryptionId=fa761e2916a, topicName=Test)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aea0290, createdName=lqvr, createdTime=Thu Jan 26 23:15:00 CST 2017, time=2017-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1710853, encodeId=3ded1e10853ca, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Tue Jul 12 07:15:00 CST 2016, time=2016-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128615, encodeId=8ed71286151c, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:54:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2050537, encodeId=da82205053e30, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Mon Mar 06 22:15:00 CST 2017, time=2017-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=85094, encodeId=dd6d85094d7, content=喝药的时间才是关键吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b73c1706459, createdName=1de92651m76(暂无匿称), createdTime=Mon May 09 18:33:00 CST 2016, time=2016-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071623, encodeId=5abc20e162308, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Wed Aug 10 11:15:00 CST 2016, time=2016-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=74053, encodeId=da2be4053fb, content=进食少渣饮食(LRD)后,对重复肠道准备有更好的依从性(与流质饮食(CLD)相比)。, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160227/IMG56D1078DD4F344111.jpg, createdBy=80b71692457, createdName=壹生, createdTime=Mon Mar 28 08:34:00 CST 2016, time=2016-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1550998, encodeId=0f6615509989d, content=<a href='/topic/show?id=9e148165ed6' target=_blank style='color:#2F92EE;'>#肠道准备#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81657, encryptionId=9e148165ed6, topicName=肠道准备)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0f814152129, createdName=wjcjjian, createdTime=Fri Mar 25 12:15:00 CST 2016, time=2016-03-25, status=1, ipAttribution=)]
    2016-05-09 1de92651m76(暂无匿称)

    喝药的时间才是关键吧

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1943393, encodeId=7c6d1943393e1, content=<a href='/topic/show?id=fa761e2916a' target=_blank style='color:#2F92EE;'>#Test#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17291, encryptionId=fa761e2916a, topicName=Test)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aea0290, createdName=lqvr, createdTime=Thu Jan 26 23:15:00 CST 2017, time=2017-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1710853, encodeId=3ded1e10853ca, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Tue Jul 12 07:15:00 CST 2016, time=2016-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128615, encodeId=8ed71286151c, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:54:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2050537, encodeId=da82205053e30, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Mon Mar 06 22:15:00 CST 2017, time=2017-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=85094, encodeId=dd6d85094d7, content=喝药的时间才是关键吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b73c1706459, createdName=1de92651m76(暂无匿称), createdTime=Mon May 09 18:33:00 CST 2016, time=2016-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071623, encodeId=5abc20e162308, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Wed Aug 10 11:15:00 CST 2016, time=2016-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=74053, encodeId=da2be4053fb, content=进食少渣饮食(LRD)后,对重复肠道准备有更好的依从性(与流质饮食(CLD)相比)。, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160227/IMG56D1078DD4F344111.jpg, createdBy=80b71692457, createdName=壹生, createdTime=Mon Mar 28 08:34:00 CST 2016, time=2016-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1550998, encodeId=0f6615509989d, content=<a href='/topic/show?id=9e148165ed6' target=_blank style='color:#2F92EE;'>#肠道准备#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81657, encryptionId=9e148165ed6, topicName=肠道准备)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0f814152129, createdName=wjcjjian, createdTime=Fri Mar 25 12:15:00 CST 2016, time=2016-03-25, status=1, ipAttribution=)]
    2016-08-10 许安
  7. [GetPortalCommentsPageByObjectIdResponse(id=1943393, encodeId=7c6d1943393e1, content=<a href='/topic/show?id=fa761e2916a' target=_blank style='color:#2F92EE;'>#Test#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17291, encryptionId=fa761e2916a, topicName=Test)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aea0290, createdName=lqvr, createdTime=Thu Jan 26 23:15:00 CST 2017, time=2017-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1710853, encodeId=3ded1e10853ca, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Tue Jul 12 07:15:00 CST 2016, time=2016-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128615, encodeId=8ed71286151c, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:54:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2050537, encodeId=da82205053e30, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Mon Mar 06 22:15:00 CST 2017, time=2017-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=85094, encodeId=dd6d85094d7, content=喝药的时间才是关键吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b73c1706459, createdName=1de92651m76(暂无匿称), createdTime=Mon May 09 18:33:00 CST 2016, time=2016-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071623, encodeId=5abc20e162308, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Wed Aug 10 11:15:00 CST 2016, time=2016-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=74053, encodeId=da2be4053fb, content=进食少渣饮食(LRD)后,对重复肠道准备有更好的依从性(与流质饮食(CLD)相比)。, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160227/IMG56D1078DD4F344111.jpg, createdBy=80b71692457, createdName=壹生, createdTime=Mon Mar 28 08:34:00 CST 2016, time=2016-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1550998, encodeId=0f6615509989d, content=<a href='/topic/show?id=9e148165ed6' target=_blank style='color:#2F92EE;'>#肠道准备#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81657, encryptionId=9e148165ed6, topicName=肠道准备)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0f814152129, createdName=wjcjjian, createdTime=Fri Mar 25 12:15:00 CST 2016, time=2016-03-25, status=1, ipAttribution=)]
    2016-03-28 壹生

    进食少渣饮食(LRD)后,对重复肠道准备有更好的依从性(与流质饮食(CLD)相比)。

    0

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